Dianne L Goodale, MD | |
200 Clinic Dr, Madisonville, KY 42431-1661 | |
(270) 825-7200 | |
Not Available |
Full Name | Dianne L Goodale |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 38 Years |
Location | 200 Clinic Dr, Madisonville, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497851562 | NPI | - | NPPES |
32926 | Other | KY | LICENSE |
000000044287 | Other | BCBS PROVIDER NUMBER | |
64329261 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 32926 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Home Care | Madisonville, KY | Home health agency |
Kindred At Home | Hopkinsville, KY | Home health agency |
Caretenders | Owensboro, KY | Home health agency |
Baptist Health Madisonville | Madisonville, KY | Hospital |
Deaconess Hospital Inc | Evansville, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kentucky Orthopedic Rehabilitation Llc | 0345157293 | 731 |
Baptist Health Deaconess Medical Group Inc | 6103220330 | 128 |
Entity Name | Baptist Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922401611 PECOS PAC ID: 5597867184 Enrollment ID: O20150219000942 |
Entity Name | Baptist Health Deaconess Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437730942 PECOS PAC ID: 6103220330 Enrollment ID: O20210810000993 |
Mailing Address | Practice Location Address |
---|---|
Dianne L Goodale, MD 200 Clinic Dr, Madisonville, KY 42431-1661 Ph: () - | Dianne L Goodale, MD 200 Clinic Dr, Madisonville, KY 42431-1661 Ph: (270) 825-7200 |
Dr. Ediberto Dejesus Garcia, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-7351 Fax: 270-825-6630 |