| Mrs Amy Lee Goedecke, RN,MSN,FNP-C | |
|
401 E Main St, Whitesboro, TX 76273-1805 | |
| (903) 564-7709 | |
| (903) 564-7090 |
| Full Name | Mrs Amy Lee Goedecke |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 401 E Main St, Whitesboro, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952776890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP129412 (Texas) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 87252 (Oklahoma) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marshall County Home Health, Inc | Madill, OK | Home health agency |
| Victory Home Health, Llc | Tishomingo, OK | Home health agency |
| Complete Home Health Of Tishomingo Llc | Tishomingo, OK | Home health agency |
| Integris Marshall County Medical Center | Madill, OK | Hospital |
| Texoma Medical Center | Denison, TX | Hospital |
| Mercy Hospital Ardmore, Inc | Ardmore, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeside Family Medicine | 6204971112 | 2 |
| Entity Name | Lakeside Family Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295064178 PECOS PAC ID: 6204971112 Enrollment ID: O20100303000625 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amy Lee Goedecke, RN,MSN,FNP-C 401 E Main St, Whitesboro, TX 76273-1805 Ph: (903) 564-7709 | Mrs Amy Lee Goedecke, RN,MSN,FNP-C 401 E Main St, Whitesboro, TX 76273-1805 Ph: (903) 564-7709 |
Heather D Burkleo, APRN- CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Bois D Arc St, Whitesboro, TX 76273 Phone: 903-564-3366 | |
Janna Gail Hobbs, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Bois D Arc St, Whitesboro, TX 76273 Phone: 035-643-3669 | |
Sydney Leigh Davis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 Charlie Dr, Whitesboro, TX 76273 Phone: 903-564-3503 | |
Llogan R. Yosten, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 Charlie St, Whitesboro, TX 76273 Phone: 903-564-3503 |