| Mr Marc James Goeders, PA | |
|
12129 University Ave Ste 100, Clive, IA 50325-8287 | |
| (515) 400-3550 | |
| Not Available |
| Full Name | Mr Marc James Goeders |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 12129 University Ave Ste 100, Clive, Iowa |
| 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 |
|---|---|---|---|
| 1639130057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 001294 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Broadlawns Medical Center | Des moines, IA | Hospital |
| Cass County Memorial Hospital | Atlantic, IA | Hospital |
| Unitypoint Health - Des Moines Iowa Methodist Medi | Des moines, IA | Hospital |
| Mercyone Des Moines Medical Center | Des moines, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urology Center Of Iowa Pllc | 1658701834 | 32 |
| Cass County Memorial Hospital | 5294634994 | 67 |
| Broadlawns Medical Center | 3678466166 | 302 |
| Entity Name | Iowa Orthopaedic Center PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669579785 PECOS PAC ID: 5597679159 Enrollment ID: O20031118000215 |
| Entity Name | Cass County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861597122 PECOS PAC ID: 5294634994 Enrollment ID: O20031231000681 |
| Entity Name | Broadlawns Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467447508 PECOS PAC ID: 3678466166 Enrollment ID: O20040206000913 |
| Entity Name | Cass County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1093760944 PECOS PAC ID: 5294634994 Enrollment ID: O20071126000266 |
| Entity Name | Urology Center of Iowa PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689210155 PECOS PAC ID: 1658701834 Enrollment ID: O20200501000900 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Marc James Goeders, PA 12129 University Ave Ste 100, Clive, IA 50325-8287 Ph: (515) 400-3550 | Mr Marc James Goeders, PA 12129 University Ave Ste 100, Clive, IA 50325-8287 Ph: (515) 400-3550 |
Kelly Marie Thomason, MSPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12327 Stratford Dr, Clive, IA 50325 Phone: 515-224-7088 Fax: 515-224-9228 |
Kate Pithan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12493 University Ave Ste 110, Clive, IA 50325 Phone: 515-358-9400 Fax: 515-358-9420 |
Maggie Gebauer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1601 Nw 114th St Ste 342, Clive, IA 50325 Phone: 515-222-7600 Fax: 515-222-7601 |
Michon Dianne Leddy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2480 Berkshire Pkwy, Clive, IA 50325 Phone: 515-225-2578 Fax: 515-225-2598 |
Gloria J Thielking, MPAS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12327 Stratford Dr, Clive, IA 50325 Phone: 515-224-7088 Fax: 515-224-9228 |
Austin Lee Schmidt, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1275 Nw 128th St Ste 200, Clive, IA 50325 Phone: 515-224-3948 |
Erica Tucker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12499 University Ave Ste 210, Clive, IA 50325 Phone: 515-440-2676 Fax: 515-440-2677 |