| Dominique Goodwin, PA | |
|
3007 36th Ave Ste A, Astoria, NY 11106-2314 | |
| (917) 310-3371 | |
| (516) 938-1554 |
| Full Name | Dominique Goodwin |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 3007 36th Ave Ste A, Astoria, New York |
| 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 |
|---|---|---|---|
| 1598503872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 032438 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hicksville Family Medical Care Pllc | 7416290564 | 45 |
| Entity Name | Montefiore Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
| Entity Name | Statcare Urgent & Walk in Medical Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336426667 PECOS PAC ID: 3577724582 Enrollment ID: O20120419000228 |
| Entity Name | Montefiore Mount Vernon Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013345065 PECOS PAC ID: 7810122231 Enrollment ID: O20150423000849 |
| Entity Name | Hicksville Family Medical Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770813792 PECOS PAC ID: 7416290564 Enrollment ID: O20190514000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominique Goodwin, PA 135 Mineola Blvd Fl 2, Mineola, NY 11501-3917 Ph: (917) 310-3371 | Dominique Goodwin, PA 3007 36th Ave Ste A, Astoria, NY 11106-2314 Ph: (917) 310-3371 |
Jean Luc Bernard, RPA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4904 19th Ave, Astoria, NY 11105 Phone: 718-777-3494 |
Kamilia Ait Belkacem, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2510 30th Ave, Astoria, NY 11102 Phone: 347-862-8380 |
Jeri Latrice Crenshaw, P.A Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3244 31st St, Astoria, NY 11106 Phone: 718-956-6565 Fax: 718-956-7463 |
Jennifer Wang, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2510 30th Ave, Astoria, NY 11102 Phone: 718-267-4262 |
Elizabeth Tova Oliver, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3141 45th St, Astoria, NY 11103 Phone: 718-274-2600 Fax: 718-274-1772 |
Maria Kurth, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3007 36th Ave, Astoria, NY 11106 Phone: 917-310-3371 Fax: 516-938-1554 |
Augustine Gnalian, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2510 30th Ave, Astoria, NY 11102 Phone: 718-932-1000 |