| Shannon M Goddard, PA | |
|
7592 Broadway, Lemon Grove, CA 91945-1604 | |
| (619) 515-2300 | |
| Not Available |
| Full Name | Shannon M Goddard |
|---|---|
| Gender | Female |
| Speciality | |
| Experience | Years |
| Location | 7592 Broadway, Lemon Grove, California |
| 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 |
|---|---|---|---|
| 1780961417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 3347 (Colorado) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 56072 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon M Goddard, PA Po Box 158, Espanola, NM 87532-0158 Ph: (505) 753-7218 | Shannon M Goddard, PA 7592 Broadway, Lemon Grove, CA 91945-1604 Ph: (619) 515-2300 |
Miss Elizabeth Mae Hollo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7967 Broadway, Lemon Grove, CA 91945 Phone: 619-741-7423 Fax: 619-713-2589 | |
Sawyer James Hinson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7592 Broadway, Lemon Grove, CA 91945 Phone: 619-515-2550 | |
Mr. David Eaton Fleming, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 7592 Broadway, Lemon Grove, CA 91945 Phone: 619-515-2550 |