| Alyson Goodale, PA-C | |
|
1 Kish Hospital Dr, Dekalb, IL 60115-9602 | |
| (815) 748-2975 | |
| (815) 981-7375 |
| Full Name | Alyson Goodale |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 1 Kish Hospital Dr, Dekalb, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558074971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2024003085 (Missouri) | Secondary |
| 363A00000X | Physician Assistant | 085012236 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cox Medical Centers | Springfield, MO | Hospital |
| Cox Medical Center Branson | Branson, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Skaggs Community Hospital Association | 5092624320 | 222 |
| Lester E Cox Medical Centers | 1254248917 | 336 |
| Cox-monett Hospital Inc | 0345236667 | 69 |
| Entity Name | Lester E Cox Medical Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538334396 PECOS PAC ID: 1254248917 Enrollment ID: O20050624000293 |
| Entity Name | Lester E Cox Medical Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447324660 PECOS PAC ID: 5799787784 Enrollment ID: O20070206000541 |
| Entity Name | Lester E Cox Medical Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669923884 PECOS PAC ID: 1254248917 Enrollment ID: O20161206000652 |
| Entity Name | Cox-monett Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205387289 PECOS PAC ID: 0345236667 Enrollment ID: O20161213002029 |
| Entity Name | Skaggs Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255870853 PECOS PAC ID: 5092624320 Enrollment ID: O20170310001975 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyson Goodale, PA-C 1 Kish Hospital Dr, Dekalb, IL 60115-9602 Ph: (815) 748-2975 | Alyson Goodale, PA-C 1 Kish Hospital Dr, Dekalb, IL 60115-9602 Ph: (815) 748-2975 |
Mrs. Haley Ranae Goulson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10 Health Services Dr, Dekalb, IL 60115 Phone: 815-756-5255 Fax: 815-756-9944 |
Makenzie Diserio, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1212 S 2nd St, Dekalb, IL 60115 Phone: 872-231-3162 Fax: 702-977-1496 |
Derek J Maratea, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-756-1521 |
Sadie Donaghy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-766-7334 Fax: 815-766-9768 |