| Stephanie Diane Goeman, PA | |
|
1214 Gallatin Ave, Nashville, TN 37206-3242 | |
| (615) 988-1620 | |
| Not Available |
| Full Name | Stephanie Diane Goeman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1214 Gallatin Ave, Nashville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508160482 | NPI | - | NPPES |
| Entity Name | Acs Primary Care Physicians - Southeast PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
| Entity Name | Northside Primary Care Professional Services,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206 |
| Entity Name | Northside Urgent Care Holding LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679962237 PECOS PAC ID: 4587984695 Enrollment ID: O20150513000795 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Diane Goeman, PA 1069 Lillian Ln, Gallatin, TN 37066-4561 Ph: (813) 389-2520 | Stephanie Diane Goeman, PA 1214 Gallatin Ave, Nashville, TN 37206-3242 Ph: (615) 988-1620 |
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