| Ms Michelle K Gough, PA-C | |
|
19615 State Road 7 Ste 32, Boca Raton, FL 33498-4700 | |
| (561) 477-7700 | |
| (561) 477-7707 |
| Full Name | Ms Michelle K Gough |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 19615 State Road 7 Ste 32, Boca Raton, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730375601 | NPI | - | NPPES |
| 006452800 | Medicaid | FL | |
| 200535850B | Medicaid | KS | |
| 016576006 | Other | KS | MEDICARE |
| Entity Name | Advanced Wound Care and Healing PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053128553 PECOS PAC ID: 3173051844 Enrollment ID: O20250225003385 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Michelle K Gough, PA-C 900 S Pine Island Rd Ste 800, Plantation, FL 33324-3923 Ph: (561) 477-7700 | Ms Michelle K Gough, PA-C 19615 State Road 7 Ste 32, Boca Raton, FL 33498-4700 Ph: (561) 477-7700 |
Mrs. Stefanie Samantha Gold Mayer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4601 N Federal Hwy, Boca Raton, FL 33431 Phone: 561-362-8000 Fax: 561-447-6806 |
Ms. Laura Lee Hartman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1905 Clint Moore Rd Ste 309, Boca Raton, FL 33496 Phone: 561-988-8988 Fax: 561-912-1804 |
Jacquie Lynn Mathai, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 370 Camino Gardens Blvd, Boca Raton, FL 33432 Phone: 954-456-4777 |
Carolina Nelson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9970 Central Park Blvd N Ste 101, Boca Raton, FL 33428 Phone: 561-488-2700 Fax: 877-258-1237 |
Sara Taylor Stranieri, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 670 Glades Rd Ste 200, Boca Raton, FL 33431 Phone: 561-495-9511 Fax: 561-990-7426 |
Mirna Antonieta Waidele, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7100 W Camino Real, Suite 200, Boca Raton, FL 33433 Phone: 561-391-6552 Fax: 561-391-6285 |
Megan Heather Lewis, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 1356 Nw Boca Raton Blvd, Boca Raton, FL 33432 Phone: 561-395-9500 |