| Elizabeth A Goedecke, PA-C | |
|
2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236-9907 | |
| (210) 292-3871 | |
| Not Available |
| Full Name | Elizabeth A Goedecke |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2200 Bergquist Dr, Lackland A F B, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265589436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA05062 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth A Goedecke, PA-C 145 Lamont Ave, San Antonio, TX 78209-3751 Ph: (210) 273-0559 | Elizabeth A Goedecke, PA-C 2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236-9907 Ph: (210) 292-3871 |
Heriberto A Gonzalez, PHD Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr Ste 1, Attn: Credentialsd(cmc), Lackland A F B, TX 78236 Phone: 210-292-5786 Fax: 210-292-7199 | |
Ms. Carol Forrest, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 Truemper St, Lackland A F B, TX 78236 Phone: 210-292-4067 | |
Jason Ray Rogers, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2200 Bergquist Dr, Lackland A F B, TX 78236 Phone: 210-292-6707 | |
Evan Gregory Smith, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2200 Bergquist Dr, Lackland A F B, TX 78236 Phone: 210-292-1990 |