| Christopher B Goodavish, PA | |
|
1000 Mineral Point Ave, Janesville, WI 53548-2940 | |
| (608) 756-6868 | |
| Not Available |
| Full Name | Christopher B Goodavish |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 1000 Mineral Point Ave, Janesville, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043275720 | NPI | - | NPPES |
| 42871400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1848 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Wi Hospitals & Clinics Authority | Madison, WI | Hospital |
| Mercy Health System Corp | Janesville, WI | Hospital |
| Prohealth Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Wisconsin Medical Foundation Inc | 6608785464 | 2537 |
| Mercy Health System Corporation | 7416860440 | 749 |
| Ascension Medical Group-fox Valley Wisconsin, Inc | 0244142420 | 260 |
| Prohealth Medical Group Inc | 3476465188 | 475 |
| Entity Name | Prohealth Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
| Entity Name | Baycare Clinic LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087 |
| Entity Name | Ascension Medical Group-fox Valley Wisconsin, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
| Entity Name | University of Wisconsin Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Entity Name | Baycare Aurora LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579 |
| Entity Name | Ascension Ne Wisconsin, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407803638 PECOS PAC ID: 7719897784 Enrollment ID: O20061027000037 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher B Goodavish, PA 29624 Network Pl, Chicago, IL 60673-1296 Ph: (608) 756-6278 | Christopher B Goodavish, PA 1000 Mineral Point Ave, Janesville, WI 53548-2940 Ph: (608) 756-6868 |
Rebecca Jean Weissburg, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3524 E Milwaukee St, Janesville, WI 53546 Phone: 608-756-7100 |
Brittany M. Austin, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8945 |
Michelle B Esch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8945 |
Alissa M Devos, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6000 |
Stephanie R Curtis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 557 N Washington St, Janesville, WI 53548 Phone: 608-754-6000 Fax: 608-755-7892 |
Mrs. Anita Boulom, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3400 Deerfield Dr, Janesville, WI 53546 Phone: 608-314-3600 |
Corin N Schaefer, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3524 E Milwaukee St, Janesville, WI 53546 Phone: 608-756-7100 |