| Mr Peter Vernon Goetchius, PHYSICIAN ASSISTANT | |
|
11050 Mount Belvedere Blvd, Usa Meddac Attn: Credentials, Fort Drum, NY 13602-5438 | |
| (315) 772-4025 | |
| (315) 772-9498 |
| Full Name | Mr Peter Vernon Goetchius |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 11050 Mount Belvedere Blvd, Fort Drum, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285610451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 000219-0 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Peter Vernon Goetchius, PHYSICIAN ASSISTANT 11050 Mount Belvedere Blvd, Usa Meddac Attn: Credentials, Fort Drum, NY 13602-5438 Ph: (315) 772-4025 | Mr Peter Vernon Goetchius, PHYSICIAN ASSISTANT 11050 Mount Belvedere Blvd, Usa Meddac Attn: Credentials, Fort Drum, NY 13602-5438 Ph: (315) 772-4025 |
David Lewis Keyes, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11050 Mount Belvedere Blvd, Usa Meddac Credentials, Fort Drum, NY 13602 Phone: 315-772-5508 | |
Brady Simpkins, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 802-258-0301 | |
Patrick Allen Clapp, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-5516 | |
Kevin Lee Larose, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778 | |
Jeremiah C Clester, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778 | |
Tetevi Senouwogbe Torsoo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778 | |
Jacob Miller, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2729 |