| Michael Charles Goddeyne, PA-C | |
|
2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | |
| (414) 489-4190 | |
| Not Available |
| Full Name | Michael Charles Goddeyne |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 2900 W Oklahoma Ave, Milwaukee, Wisconsin |
| 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 |
|---|---|---|---|
| 1518539907 | NPI | - | NPPES |
| 100177796 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 5489-23 (Wisconsin) | Secondary |
| 363A00000X | Physician Assistant | 5489 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Aurora Medical Center - Grafton | Grafton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3269 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Charles Goddeyne, PA-C Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Michael Charles Goddeyne, PA-C 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 Ph: (414) 489-4190 |
Amanda J Mueller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Froedtert Hospital - East Clinics, Milwaukee, WI 53226 Phone: 414-955-6900 | |
Andrea L Bequest, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Internal Medicine, Milwaukee, WI 53226 Phone: 414-955-0350 Fax: 414-805-6851 | |
Kelsey Kujellis, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2801 W Kinnickinnic River Pkwy Ste 777, Milwaukee, WI 53215 Phone: 414-649-3370 | |
Meredith Batzner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-5400 Fax: 414-955-0115 | |
Claire Kathryn Choren, Physician Assistant Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6400 | |
Summer R Winger, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 507 N 17th St, Milwaukee, WI 53233 Phone: 262-527-4347 | |
Mrs. Tedan Hu Henkel, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6400 Fax: 404-955-0213 |