Brittney Michelle Goeken, MD | |
501 S Burma Ave, Gillette, WY 82716-3426 | |
(307) 638-1000 | |
Not Available |
Full Name | Brittney Michelle Goeken |
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Gender | Female |
Speciality | Pediatrics |
Location | 501 S Burma Ave, Gillette, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679194054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | TL7831 (Wyoming) | Primary |
Entity Name | Campbell County Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710098868 PECOS PAC ID: 2860392529 Enrollment ID: O20040206000510 |
Mailing Address | Practice Location Address |
---|---|
Brittney Michelle Goeken, MD 501 S Burma Ave, Gillette, WY 82716-3426 Ph: (307) 638-1000 | Brittney Michelle Goeken, MD 501 S Burma Ave, Gillette, WY 82716-3426 Ph: (307) 638-1000 |
Dr. Judith M Boyle, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1000 | |
Dr. Linda Kamil Abujaber-ammari, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1300 W 4th St, Gillette, WY 82716 Phone: 307-686-4900 Fax: 307-682-3466 | |
Inara Aila Mcmaster, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 W Lakeway Rd Ste 800, Gillette, WY 82718 Phone: 307-387-9850 Fax: 307-487-8880 | |
Dr. Julie Shibata Fall, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1308 W 4th St, Gillette, WY 82716 Phone: 307-687-1300 Fax: 307-682-1309 | |
Natasha W Maremma, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-3636 | |
Dr. David Robert Fall, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1308 W 4th St, Gillette, WY 82716 Phone: 307-687-1300 Fax: 307-682-1309 | |
Dr. Brahmananda Kiran Koduri, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1534 |