| Judith Marie Mago, PA | |
|
106 Willow Rd, Goodland, KS 67735-1518 | |
| (785) 890-4012 | |
| (785) 890-6077 |
| Full Name | Judith Marie Mago |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 106 Willow Rd, Goodland, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376638569 | NPI | - | NPPES |
| 200631060A | Medicaid | KS | |
| 111003004 | Other | KS | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 872 (Colorado) | Secondary |
| 363A00000X | Physician Assistant | 1501352 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Judith Marie Mago, PA 106 Willow Rd, Goodland, KS 67735-1518 Ph: (785) 890-4012 | Judith Marie Mago, PA 106 Willow Rd, Goodland, KS 67735-1518 Ph: (785) 890-4012 |
Douglas Paul Simon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 106 Willow Rd, Goodland, KS 67735 Phone: 785-890-6075 Fax: 785-890-6077 | |
Mr. Jonathan Spellmeier, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 106 Willow Rd, Goodland, KS 67735 Phone: 785-890-6075 |