| Mobile Therapeutics LLC | |
|
7821 Altmeyer Dr De Pere WI 54115-7784 | |
| (920) 470-0333 | |
| Not Available |
| Full Name | Mobile Therapeutics LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 7821 Altmeyer Dr, De Pere, Wisconsin |
| Authorized Official Name and Position | Eric James Goddeyne (CHIEF OF ORTHOPAEDICS) |
| Authorized Official Contact | 9204700333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Therapeutics LLC 7821 Altmeyer Dr De Pere WI 54115-7784 Ph: (920) 470-0333 | Mobile Therapeutics LLC 7821 Altmeyer Dr De Pere WI 54115-7784 Ph: (920) 470-0333 |
| NPI Number | 1659101814 |
|---|---|
| Provider Enumeration Date | 08/02/2024 |
| Last Update Date | 01/08/2025 |
| Certification Date | 01/08/2025 |
| Medicare PECOS PAC ID | 3476093170 |
|---|---|
| Medicare Enrollment ID | O20240909003395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659101814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Eric Goddeyne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386052777 PECOS PAC ID: 5496974347 Enrollment ID: I20140909000107 |
Fmc Depere West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Lawrence Dr, De Pere, WI 54115 Phone: 920-983-3220 |
St Gianna Molla Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1716 Lawrence Dr Ste 100, De Pere, WI 54115 Phone: 920-605-3115 Fax: 920-486-6826 |
Department of Health and Wellness Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Grant St, De Pere, WI 54115 Phone: 920-403-3266 |
Energize Health and Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Sand Acres Dr Ste 2a, De Pere, WI 54115 Phone: 920-819-2657 |
Shalom Medical Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 977 Green Ridge Dr, De Pere, WI 54115 Phone: 718-530-8357 Fax: 920-328-9050 |
Unity Hospice and Palliative Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2366 Oak Ridge Cir, De Pere, WI 54115 Phone: 920-338-1111 Fax: 920-339-6795 |