| Andrew C Gold, PA | |
|
211 S College Ave, Cleveland, TX 77327-4503 | |
| (281) 592-8622 | |
| (281) 592-8699 |
| Full Name | Andrew C Gold |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 211 S College Ave, Cleveland, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285956854 | NPI | - | NPPES |
| 76-0586988 | Other | TX | TAX ID |
| PA06614 | Other | TX | PA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA06614 (Texas) | Primary |
| Entity Name | Prime Medic, P.A. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255432829 PECOS PAC ID: 7012958754 Enrollment ID: O20050512000763 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew C Gold, PA Po Box 5999, Kingwood, TX 77325-5999 Ph: (281) 592-8622 | Andrew C Gold, PA 211 S College Ave, Cleveland, TX 77327-4503 Ph: (281) 592-8622 |
Seth Keating, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 108 S William Barnett Ave, Cleveland, TX 77327 Phone: 281-592-9775 Fax: 312-243-2227 |
Mrs. Tracy Michelle Lee-mcgee, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 307 N William Barnett Ave, Cleveland, TX 77327 Phone: 281-592-2224 Fax: 281-592-2225 |
Amanda Arceneaux, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 200 E Boothe St Ste 100, Cleveland, TX 77327 Phone: 281-592-2888 |
Mr. Keith Edward Williamson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 108 South Williams Barnett Ave, Cleveland, TX 77327 Phone: 281-592-9775 Fax: 281-432-0548 |
Ruqaiyah Darugar, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 108 S William Barnett Ave, Cleveland, TX 77327 Phone: 281-592-9775 Fax: 281-432-0548 |