| Eric M Goddard, PA-C | |
|
7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | |
| (260) 434-6322 | |
| (260) 434-6481 |
| Full Name | Eric M Goddard |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 7916 W Jefferson Blvd, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053824763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10002367A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
| Bluffton Regional Medical Center | Bluffton, IN | Hospital |
| Dupont Hospital Llc | Fort wayne, IN | Hospital |
| Adams Memorial Hospital | Decatur, IN | Hospital |
| Kosciusko Community Hospital | Warsaw, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lutheran Medical Group Llc | 4981751617 | 264 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric M Goddard, PA-C 6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934 Ph: (260) 479-3514 | Eric M Goddard, PA-C 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 Ph: (260) 434-6322 |
Macy Marie Bradbury, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065 | |
Miss Jacqueline Langer, Physician Assistant Medicare: Medicare Enrolled Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001 | |
Mr. Christopher A Fegley, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 102, Fort Wayne, IN 46804 Phone: 260-458-3555 Fax: 260-458-3530 | |
Ms. Debra Lammers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065 | |
Mrs. Brianna J Abbott, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 Phone: 260-266-5260 Fax: 260-266-5913 | |
Ms. Kari M Rasmussen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000 | |
Mr. Thomas G Edwards, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000 Fax: 260-482-4442 |