Victoria Goodale, PA is a medicare enrolled "Physician Assistant" in Shorewood, Illinois. Her current practice location is
21004 S States Ln, Shorewood, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 341-2190.
Victoria Goodale is licensed to practice in Illinois (license number 085008157) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417502311.
Provider's Profile
Full Name | Victoria Goodale |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 21004 S States Ln, Shorewood, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Victoria Goodale attended and graduated from in
NPI Data:
- NPI Number: 1417502311
- Provider Enumeration Date: 08/07/2019
- Last Update Date: 09/23/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Victoria Goodale such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417502311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 085008157 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Victoria Goodale is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Victoria Goodale, PA 21004 S States Ln, Shorewood, IL 60404-8188 Ph: () - | Victoria Goodale, PA 21004 S States Ln, Shorewood, IL 60404-8188 Ph: (815) 341-2190 |
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