| Debra P Goodwin, PAC | |
|
3691 Crescent Ct E, Ste 201, Whitehall, PA 18052-3433 | |
| (610) 434-9561 | |
| (610) 434-5122 |
| Full Name | Debra P Goodwin |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3691 Crescent Ct E, Whitehall, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740258854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA003213L (Pennsylvania) | Primary |
| 363A00000X | Physician Assistant | OA000467L (Pennsylvania) | Secondary |
| Entity Name | Family Care Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497 |
| Entity Name | Lehigh Valley Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780155689 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
| Entity Name | Schuylkill Health System Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588603567 PECOS PAC ID: 0840285532 Enrollment ID: O20040420001197 |
| Mailing Address | Practice Location Address |
|---|---|
| Debra P Goodwin, PAC Po Box 1754, Allentown, PA 18105-1754 Ph: Not Available | Debra P Goodwin, PAC 3691 Crescent Ct E, Ste 201, Whitehall, PA 18052-3433 Ph: (610) 434-9561 |
Alex E Roginsky, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2402 Macarthur Rd, Whitehall, PA 18052 Phone: 484-426-2026 |
Ashley Kay Warner, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2741 Macarthur Rd, Whitehall, PA 18052 Phone: 610-403-6000 Fax: 610-403-6010 |
Jessica Kt Knauss, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1401 Fairmont St, Whitehall, PA 18052 Phone: 610-432-4122 Fax: 612-432-6677 |
Miss Rocio Ipanaque, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2741 Macarthur Rd, Whitehall, PA 18052 Phone: 610-403-6000 |
Christopher Guidon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2402 Macarthur Rd., Whitehall, PA 18052 Phone: 484-426-2026 |
Valerie A Roache, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1401 Fairmont St, Whitehall, PA 18052 Phone: 610-432-4122 Fax: 610-432-6677 |
Timothy A Smolenyak, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3691 Crescent Ct E, Ste 201, Whitehall, PA 18052 Phone: 610-434-9561 Fax: 610-434-5122 |