Mr Lesego A Goba, NP | |
7 Gloucester Dr, Wheatley Heights, NY 11798-1207 | |
(718) 307-1577 | |
Not Available |
Full Name | Mr Lesego A Goba |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 7 Gloucester Dr, Wheatley Heights, New York |
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 |
---|---|---|---|
1871047894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 40402072 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
East Point Medical Pc | 0749690741 | 13 |
Entity Name | North Shore - Lij Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Entity Name | Rudoy Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497218762 PECOS PAC ID: 1759615008 Enrollment ID: O20190620002170 |
Entity Name | East Point Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518571751 PECOS PAC ID: 0749690741 Enrollment ID: O20201103000809 |
Mailing Address | Practice Location Address |
---|---|
Mr Lesego A Goba, NP 7 Gloucester Dr, Wheatley Heights, NY 11798-1207 Ph: (718) 307-1577 | Mr Lesego A Goba, NP 7 Gloucester Dr, Wheatley Heights, NY 11798-1207 Ph: (718) 307-1577 |
Mr. Randall Garth Ryan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16 Barrington Dr, Wheatley Heights, NY 11798 Phone: 347-247-4491 | |
Claudette Minto Ryan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 Valley Forge Dr, Wheatley Heights, NY 11798 Phone: 646-522-3502 Fax: 631-920-0976 |