| Mr John Joseph Goedert Iii, PA-C | |
|
1200 Barrett Blvd, Henderson, KY 42420-4950 | |
| (270) 844-8600 | |
| (270) 844-8610 |
| Full Name | Mr John Joseph Goedert Iii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1200 Barrett Blvd, Henderson, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295118446 | NPI | - | NPPES |
| PENDING | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10001845A (Indiana) | Secondary |
| 363A00000X | Physician Assistant | TC699 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Joseph Goedert Iii, PA-C Po Box 23229, Owensboro, KY 42304-3229 Ph: (270) 691-8070 | Mr John Joseph Goedert Iii, PA-C 1200 Barrett Blvd, Henderson, KY 42420-4950 Ph: (270) 844-8600 |
Tyler J. Unfried, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1305 N Elm St, Henderson, KY 42420 Phone: 270-827-7100 | |
Laura L Kirk, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1305 N Elm St, Henderson, KY 42420 Phone: 270-827-7100 Fax: 270-827-7446 | |
Mollee Renee Bundy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1305 N Elm St, Henderson, KY 42420 Phone: 270-827-7100 Fax: 270-827-7446 | |
Andrea S Jennings, PA-C, RD Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 110 2nd St, Henderson, KY 42420 Phone: 270-631-2412 | |
Mrs. Katelyn A Rinell, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1305 N Elm St, Henderson, KY 42420 Phone: 270-827-7200 | |
Paula S Fraley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1015 N Elm St, Henderson, KY 42420 Phone: 270-826-8009 Fax: 270-826-7010 |