Michael J Godard, DO | |
615 Ridge Rd, Roxboro, NC 27573-4629 | |
(843) 237-3378 | |
(843) 237-5073 |
Full Name | Michael J Godard |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 615 Ridge Rd, Roxboro, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851354229 | NPI | - | NPPES |
930100502 | Other | NC | RAILROAD |
1223C | Other | NC | BCBS |
891223C | Medicaid | NC | |
Q00054 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 9900054 (North Carolina) | Primary |
207Q00000X | Family Medicine | 9900054 (North Carolina) | Secondary |
Entity Name | Essential Geriatric Care Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912190281 PECOS PAC ID: 4789766510 Enrollment ID: O20080131000493 |
Entity Name | Emergency Coverage Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20100202000365 |
Entity Name | Nc Health Care Services, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629841788 PECOS PAC ID: 9830540558 Enrollment ID: O20240108000613 |
Mailing Address | Practice Location Address |
---|---|
Michael J Godard, DO Po Box 30727, Charlotte, NC 28230-0727 Ph: (843) 237-3378 | Michael J Godard, DO 615 Ridge Rd, Roxboro, NC 27573-4629 Ph: (843) 237-3378 |
Janice Nicholson, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3762 Durham Rd Ste A, Roxboro, NC 27573 Phone: 336-330-0400 Fax: 336-330-0031 | |
Dan M Phillips, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3762 Durham Rd, Ste A, Roxboro, NC 27573 Phone: 336-330-0400 | |
Kimberly M Yarborough, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 615 Ridge Rd, Roxboro, NC 27573 Phone: 843-237-3378 Fax: 843-237-5073 |