Paul Goetz, | |
1320 Wisconsin Ave, Racine, WI 53403-1978 | |
(262) 687-2380 | |
Not Available |
Full Name | Paul Goetz |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1320 Wisconsin Ave, Racine, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992823405 | NPI | - | NPPES |
11013500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 7240 (Wisconsin) | Primary |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Mailing Address | Practice Location Address |
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Paul Goetz, 1320 Wisconsin Ave, Racine, WI 53403-1978 Ph: (262) 687-2380 | Paul Goetz, 1320 Wisconsin Ave, Racine, WI 53403-1978 Ph: (262) 687-2380 |
Mary Monica Weber, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1220 Mound Ave, Ste 301, Racine, WI 53404 Phone: 262-633-3591 Fax: 262-633-2619 | |
Mrs. Kathleen Fenno Mcnulty, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1220 Mound Ave, Suite 301, Racine, WI 53404 Phone: 262-633-3591 Fax: 262-633-2619 | |
Jack A Plate, LCSW,LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4810 Northwestern Ave, Racine, WI 53406 Phone: 262-637-9984 Fax: 262-637-9995 | |
John Tate Ii, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 420 7th St, Racine, WI 53403 Phone: 262-634-2391 | |
Sara Aranda, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 937 Hayes Ave, Racine, WI 53405 Phone: 262-744-9110 | |
Stephanie B Hanson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1244 Wisconsin Ave, Suite 303, Racine, WI 53403 Phone: 262-635-5520 Fax: 262-635-5530 | |
Carole Ann Della Pia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6233 Durand Ave, Suite F, Racine, WI 53406 Phone: 262-554-8165 Fax: 262-554-8165 |