Mrs Stephanie H Goede, PA-C in Crystal Lake, IL

Mrs Stephanie H Goede, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Crystal Lake, Illinois. Her current practice location is 420 N Il Route 31, Crystal Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 356-5200.

Mrs Stephanie H Goede is licensed to practice in Illinois (license number 085.004468) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548519986.

Contact Information

	Mrs Stephanie H Goede, PA-C
	420 N Il Route 31, Crystal Lake, IL 60012
	(815) 356-5200
	(815) 356-5262

Map and Direction

Provider's Profile

Full Name	Mrs Stephanie H Goede
Gender	Female
Speciality	Physician Assistant - Surgical
Location	420 N Il Route 31, Crystal Lake, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548519986
Provider Enumeration Date: 08/30/2012
Last Update Date: 06/07/2018

Medicare PECOS Information:

PECOS PAC ID: 6103079355
Enrollment ID: I20130121000166

Medical Identifiers

Medical identifiers for Mrs Stephanie H Goede such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548519986	NPI	-	NPPES
1108763	Other	IL	NCCPA
085004468	Other	IL	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	085.004468 (Illinois)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Stephanie H Goede is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Stephanie H Goede, PA-C 420 N Il Route 31, Crystal Lake, IL 60012-3709 Ph: (815) 356-5200	Mrs Stephanie H Goede, PA-C 420 N Il Route 31, Crystal Lake, IL 60012 Ph: (815) 356-5200

Reviews and Comments

Physician Assistant Nurses in Crystal Lake, IL

Amanda Marie Diamond, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 360 Station Drive, Suite 201, Crystal Lake, IL 60014 Phone: 815-455-7200 Fax: 815-455-9256
Ms. Robin K Pond, M.M.S., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5911 Northwest Highway, Suite 205, Crystal Lake, IL 60014 Phone: 847-515-2200 Fax: 847-515-2328
Makiko Ogino-mcelligott, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 525 E Congress Pkwy, 100, Crystal Lake, IL 60014 Phone: 815-479-8020
Katelyn St Martin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 420 N Il Route 31, Crystal Lake, IL 60012 Phone: 815-356-5200 Fax: 815-356-5262
Devin Chen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 420 N Il Route 31, Crystal Lake, IL 60012 Phone: 815-356-5200
Payton Gentges, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3880 Niblick Ct, Crystal Lake, IL 60012 Phone: 815-529-3049
Eric Torres, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 750 E Terra Cotta Ave, Crystal Lake, IL 60014 Phone: 815-398-9491 Fax: 815-381-7498

Mrs Stephanie H Goede, PA-C - Medicare Physician Assistant in Crystal Lake, IL