| Mr Andrew Stanley Goebel, | |
|
1095 Midway Rd, Menasha, WI 54952-1115 | |
| (920) 720-3700 | |
| Not Available |
| Full Name | Mr Andrew Stanley Goebel |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 7 Years |
| Location | 1095 Midway Rd, Menasha, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609320209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3852 (Wisconsin) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
| Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thedacare Incorporated | 1759294887 | 533 |
| Entity Name | Thedacare Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Andrew Stanley Goebel, 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: () - | Mr Andrew Stanley Goebel, 1095 Midway Rd, Menasha, WI 54952-1115 Ph: (920) 720-3700 |
Yvette Samantha Goebel, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-3870 | |
Dr. Jonathan William Marin, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300 Fax: 920-720-3719 | |
Thomas Groh, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300 | |
Rebecca Timmins, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 231 9th St, Menasha, WI 54952 Phone: 920-475-2195 | |
Mr. Steven Robert Clothier, M.S.E. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1488 Kenwood Dr, Menasha, WI 54952 Phone: 920-883-9336 | |
Melissa J Pecor, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300 Fax: 920-720-3719 | |
John R Briggs, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300 |