Jeffrey B Goza, MD | |
3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | |
(262) 334-3451 | |
(262) 306-2964 |
Full Name | Jeffrey B Goza |
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Gender | Male |
Speciality | Pediatrics |
Location | 3200 Pleasant Valley Rd, West Bend, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568401412 | NPI | - | NPPES |
670250219 | Other | WI | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301082236 (Michigan) | Primary |
Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey B Goza, MD 1700 W Paradise Dr, West Bend, WI 53095-9795 Ph: (262) 334-3451 | Jeffrey B Goza, MD 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 Ph: (262) 334-3451 |
Melanie Custer, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 611 Veterans Ave Unit 106, West Bend, WI 53090 Phone: 262-353-4460 Fax: 262-353-4461 | |
Colleen J Reichel, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 205 Valley Ave, West Bend, WI 53095 Phone: 262-338-1123 Fax: 262-338-7684 | |
Lisa K Seefeld, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 205 Valley Ave, West Bend, WI 53095 Phone: 262-338-1123 Fax: 262-338-7142 | |
Dr. Sylvia Hillmann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 | |
Mark R Staszkiewicz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 | |
Heather I Osborn, Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 |