| Mr Ledontrae Gooden, PA-C | |
|
6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 | |
| (916) 385-1006 | |
| Not Available |
| Full Name | Mr Ledontrae Gooden |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 6600 Van Aalst Blvd, Fort Moore, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528607272 | NPI | - | NPPES |
| NONE | Other | NONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| 172A00000X | Driver | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emory Medical Care Foundation Inc | 4981501814 | 877 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ledontrae Gooden, PA-C 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905-2102 Ph: (916) 385-1006 | Mr Ledontrae Gooden, PA-C 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 Ph: (916) 385-1006 |
Jenna Elizabeth Frost, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Martin Army Community Hospital, 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 706-544-9516 | |
Scott Merideth Gilpatrick, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd Bldg 9520, Fort Moore, GA 31905 Phone: 706-545-8512 | |
Megan Anne Benedict, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-2273 | |
John Franklin Rains, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-1402 | |
Jordan Burgess, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 402-806-2909 | |
Brian A Pineda, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-0374 | |
Mr. Jerry Lyle Starr, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-1374 |