Molly Goodier, MD | |
401 Phalen Blvd, Saint Paul, MN 55130-5302 | |
(651) 254-7580 | |
(651) 254-7584 |
Full Name | Molly Goodier |
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Gender | Female |
Speciality | Dermatology |
Location | 401 Phalen Blvd, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497245641 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 72512 (Minnesota) | Primary |
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
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Molly Goodier, MD 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425 Ph: () - | Molly Goodier, MD 401 Phalen Blvd, Saint Paul, MN 55130-5302 Ph: (651) 254-7580 |
Andrea Langeveld, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7580 | |
John Stansbury, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1020 Bandana Blvd W, Saint Paul, MN 55108 Phone: 651-641-7000 Fax: 651-641-7166 | |
Jerry Wayne Stanke, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3555 Willow Lake Blvd, Suite 240, Saint Paul, MN 55110 Phone: 651-770-0110 Fax: 651-770-0134 | |
Mrs. Wendy Roberta Timmons, PAC Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4480 Centerville Rd, Saint Paul, MN 55127 Phone: 651-484-2724 Fax: 651-484-2723 | |
Jessica A Healy, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3555 Willow Lake Blvd, Suite 240, Saint Paul, MN 55110 Phone: 651-770-0110 Fax: 651-770-0134 | |
Katherine E Brick, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7580 | |
Dennis M Leahy, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 393 Dunlap St N, Suite 720, Saint Paul, MN 55104 Phone: 651-645-3628 |