| Justin R Goebel, PA | |
|
104 Burney Dr, Flowood, MS 39232-6621 | |
| (601) 987-8200 | |
| (601) 987-8211 |
| Full Name | Justin R Goebel |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 104 Burney Dr, Flowood, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205174737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA00492 (Mississippi) | Primary |
| Entity Name | University of Alabama Health Services Foundation, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261 |
| Entity Name | Alteon Health Alabama, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477708857 PECOS PAC ID: 5698830552 Enrollment ID: O20090210000557 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin R Goebel, PA Po Box 1826, Pelham, AL 35124-5826 Ph: (205) 621-3778 | Justin R Goebel, PA 104 Burney Dr, Flowood, MS 39232-6621 Ph: (601) 987-8200 |
Kristen Richardson, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 108 Belle Meade Pt, Flowood, MS 39232 Phone: 601-992-7002 |
Dale Allan Ostrowski, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 778 Liberty Rd, Flowood, MS 39232 Phone: 662-883-4198 Fax: 662-883-4198 |
Laila Mohammed Ali Jamila, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2506 Lakeland Dr Ste 300, Flowood, MS 39232 Phone: 601-326-2599 |
Carly Jane Jackson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2925 Layfair Dr, Flowood, MS 39232 Phone: 601-984-5314 |
Rachel M Sellers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4436 Mangum Dr, Flowood, MS 39232 Phone: 601-586-7070 Fax: 601-586-7071 |
Brianna Nicole Watkins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1040 River Oaks Dr Ste 103, Flowood, MS 39232 Phone: 601-948-6540 |
Lauren Harkins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 778 Liberty Rd, Flowood, MS 39232 Phone: 769-243-6141 |