Dr Lance Allen Goodall, MD | |
1075 N Center Point Rd, Hiawatha, IA 52233-1231 | |
(319) 743-1440 | |
(319) 743-1444 |
Full Name | Dr Lance Allen Goodall |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1075 N Center Point Rd, Hiawatha, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578792321 | NPI | - | NPPES |
1578792321 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 40645 (Iowa) | Primary |
Entity Name | Iowa Physicians Clinic Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
Mailing Address | Practice Location Address |
---|---|
Dr Lance Allen Goodall, MD 1075 N Center Point Rd, Hiawatha, IA 52233-1231 Ph: (319) 743-1440 | Dr Lance Allen Goodall, MD 1075 N Center Point Rd, Hiawatha, IA 52233-1231 Ph: (319) 743-1440 |
John E Sevening, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1075 N Center Point Rd, Hiawatha, IA 52233 Phone: 319-739-2493 Fax: 319-739-2750 | |
Karen R Dreiling, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1075 N Center Point Rd, Hiawatha, IA 52233 Phone: 319-743-1440 Fax: 319-861-6768 | |
Dr. Mercy Rajesh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1075 N Center Point Rd, Hiawatha, IA 52233 Phone: 319-743-1440 Fax: 319-743-1444 | |
Dr. James William Metzger, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1075 N Center Point Rd, Hiawatha, IA 52233 Phone: 319-734-1440 Fax: 319-733-1444 |