Mr Alexander S Goch, CRNP | |
618 Walters Ave, Johnstown, PA 15904-1255 | |
(814) 418-3824 | |
Not Available |
Full Name | Mr Alexander S Goch |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 618 Walters Ave, Johnstown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265218275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP028154 (Pennsylvania) | Primary |
Entity Name | Tridentusa Mobile Clinical Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942554837 PECOS PAC ID: 6709030133 Enrollment ID: O20140429000780 |
Mailing Address | Practice Location Address |
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Mr Alexander S Goch, CRNP 618 Walters Ave, Johnstown, PA 15904-1255 Ph: (814) 418-3824 | Mr Alexander S Goch, CRNP 618 Walters Ave, Johnstown, PA 15904-1255 Ph: (814) 418-3824 |
Pamela Geary, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1015 Franklin St, Wessel Building Level D, Johnstown, PA 15905 Phone: 814-534-5042 Fax: 814-534-5045 | |
Patrice Janice Wilson, FNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1086 Franklin St Fl 7, Johnstown, PA 15905 Phone: 678-593-9020 | |
Lisa Devineni, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 Locust St, 2nd Floor, Johnstown, PA 15901 Phone: 814-534-6750 Fax: 814-534-6760 | |
Mrs. Kimberly R. Wisniewski, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321 Main St, Suite 5 G, Johnstown, PA 15901 Phone: 814-535-7721 Fax: 814-535-2105 | |
Michele Marie Swanhart, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 817 Franklin St, Johnstown, PA 15901 Phone: 814-539-7507 Fax: 814-535-5547 | |
Brittany Louise Walker, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1450 Scalp Ave Ste 2100, Johnstown, PA 15904 Phone: 814-269-5211 | |
Lori Beth Claycomb, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1415 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-615-2014 |