| Raul Godina, PA-C | |
|
512 N 21st Ave, Caldwell, ID 83605-4368 | |
| (208) 809-2875 | |
| (208) 809-2876 |
| Full Name | Raul Godina |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 512 N 21st Ave, Caldwell, Idaho |
| 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 |
|---|---|---|---|
| 1336499730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5210 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | PA-1250 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Valley Medical Center | Caldwell, ID | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alliance Medical Group Llc | 3971544685 | 120 |
| Mailing Address | Practice Location Address |
|---|---|
| Raul Godina, PA-C Po Box 191050, Boise, ID 83719-1050 Ph: (208) 955-6522 | Raul Godina, PA-C 512 N 21st Ave, Caldwell, ID 83605-4368 Ph: (208) 809-2875 |
Heather Hoewing, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave, Ste 230, Caldwell, ID 83605 Phone: 208-429-4667 Fax: 208-442-6520 | |
Hodaka Paul Abe, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 206 E Elm St, Caldwell, ID 83605 Phone: 208-459-4511 Fax: 208-459-6602 | |
Jason Weaver, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2609 S 10th Ave, Caldwell, ID 83605 Phone: 208-454-2771 | |
Ms. Janet E Mitchell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4521 Thomas Jefferson St, Caldwell, ID 83605 Phone: 208-454-4820 | |
Thomas Wayne Tryon, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 206 E Elm St, Caldwell, ID 83605 Phone: 208-459-4511 Fax: 208-459-6602 | |
Daniel Seth Fankhauser, Physician Assistant Medicare: Medicare Enrolled Practice Location: 315 E Elm St Ste 201, Caldwell, ID 83605 Phone: 208-514-2528 Fax: 208-375-2217 | |
Todd M Otstot, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 206 E Elm St, Caldwell, ID 83605 Phone: 208-459-4511 |