| Goodside Health Medical, Pllc | |
|
209 Fayetteville St Ste 1-c Raleigh NC 27601-1309 | |
| (512) 884-5190 | |
| Not Available |
| Full Name | Goodside Health Medical, Pllc |
|---|---|
| Speciality | Pediatrics |
| Location | 209 Fayetteville St Ste 1-c, Raleigh, North Carolina |
| Authorized Official Name and Position | Gerardo Reyes (OWNER) |
| Authorized Official Contact | 5128845190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodside Health Medical, Pllc 1701 River Run Ste 302 Fort Worth TX 76107-6547 Ph: () - | Goodside Health Medical, Pllc 209 Fayetteville St Ste 1-c Raleigh NC 27601-1309 Ph: (512) 884-5190 |
| NPI Number | 1386496636 |
|---|---|
| Provider Enumeration Date | 04/02/2024 |
| Last Update Date | 04/02/2024 |
| Medicare PECOS PAC ID | 1557745478 |
|---|---|
| Medicare Enrollment ID | O20240603003586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386496636 | NPI | - | NPPES |
| Provider Name | Gerardo Reyes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194767954 PECOS PAC ID: 1153429576 Enrollment ID: I20240619001490 |
| Provider Name | Domingo Palomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275025983 PECOS PAC ID: 2062849235 Enrollment ID: I20240719002518 |
| Provider Name | Julia Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992050314 PECOS PAC ID: 9638326218 Enrollment ID: I20241009002805 |
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