| Wendy Monique Goodrich, PA C | |
|
623 S Main St Ste 1, Moscow, ID 83843-2983 | |
| (208) 882-2011 | |
| (208) 883-1853 |
| Full Name | Wendy Monique Goodrich |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 623 S Main St Ste 1, Moscow, Idaho |
| 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 |
|---|---|---|---|
| 1255400388 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gritman Medical Center | Moscow, ID | Hospital |
| Pullman Regional Hospital | Pullman, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gritman Medical Center Inc | 0941545784 | 27 |
| Entity Name | Gritman Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619988144 PECOS PAC ID: 8729070164 Enrollment ID: O20040402001021 |
| Entity Name | Gritman Medical Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1619988144 PECOS PAC ID: 8729070164 Enrollment ID: O20040908001492 |
| Entity Name | Gritman Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538634522 PECOS PAC ID: 0941545784 Enrollment ID: O20181221002296 |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy Monique Goodrich, PA C 623 S Main St Ste 1, Moscow, ID 83843-3042 Ph: (208) 882-2011 | Wendy Monique Goodrich, PA C 623 S Main St Ste 1, Moscow, ID 83843-2983 Ph: (208) 882-2011 |
Kara Michelle Adams, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 W A St Ste 101, Moscow, ID 83843 Phone: 208-882-0540 Fax: 208-883-1853 |
James Hebrlee Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 719 S. Mailn St, Moscow, ID 83843 Phone: 208-848-8300 Fax: 208-882-5587 |
Rachel Ensley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 803 S Main St Ste 110, Moscow, ID 83843 Phone: 208-813-7519 Fax: 208-813-7524 |
Mr. Michael Lounsbury, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 318 N Lincoln St, Moscow, ID 83843 Phone: 208-827-6127 |
Hanna Albanese, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 W A St Ste 101, Moscow, ID 83843 Phone: 208-882-0540 |
Sheridan Meyer, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 W A St Ste 101, Moscow, ID 83843 Phone: 208-882-0540 |
Mrs. Sera Evelyn Babino Weber, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 Fax: 208-883-6580 |