| Mrs Mica Rae Goehner, FNP | |
|
31038 Country Gdns Ste D2, Dagsboro, DE 19939-5410 | |
| (025) 890-0193 | |
| (800) 349-1807 |
| Full Name | Mrs Mica Rae Goehner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 31038 Country Gdns Ste D2, Dagsboro, Delaware |
| 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 |
|---|---|---|---|
| 1538744230 | NPI | - | NPPES |
| LG-001594 | Other | DE | DE FNP LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | LG-0011594 (Delaware) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beebe Medical Center | Lewes, DE | Hospital |
| Peninsula Regional Medical Center | Salisbury, MD | Hospital |
| Nanticoke Memorial Hospital | Seaford, DE | Hospital |
| Bayhealth Hospital, Sussex Campus | Milford, DE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peninsula Health Llc | 7416019765 | 2 |
| Entity Name | Peninsula Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316198062 PECOS PAC ID: 7416019765 Enrollment ID: O20081219000268 |
| Entity Name | Mica Rae Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477365856 PECOS PAC ID: 8426575911 Enrollment ID: O20250508000582 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mica Rae Goehner, FNP 31038 Country Gdns Ste D2, Dagsboro, DE 19939-5410 Ph: (302) 589-0019 | Mrs Mica Rae Goehner, FNP 31038 Country Gdns Ste D2, Dagsboro, DE 19939-5410 Ph: (025) 890-0193 |
Sarah Giusto, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 37627 Boscage Ln, Dagsboro, DE 19939 Phone: 856-873-7161 |