| Diane Goetz Family Practice Pllc | |
|
3000 Alvey Park Dr W Ste D Owensboro KY 42303-4099 | |
| (270) 215-7744 | |
| Not Available |
| Full Name | Diane Goetz Family Practice Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3000 Alvey Park Dr W Ste D, Owensboro, Kentucky |
| Authorized Official Name and Position | Diane Goetz (OWNER) |
| Authorized Official Contact | 2702157744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Goetz Family Practice Pllc 3000 Alvey Park Dr W Ste D Owensboro KY 42303-4099 Ph: (270) 215-7744 | Diane Goetz Family Practice Pllc 3000 Alvey Park Dr W Ste D Owensboro KY 42303-4099 Ph: (270) 215-7744 |
| NPI Number | 1750995643 |
|---|---|
| Provider Enumeration Date | 09/08/2020 |
| Last Update Date | 11/13/2023 |
| Medicare PECOS PAC ID | 0042638108 |
|---|---|
| Medicare Enrollment ID | O20200922001694 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750995643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Diane Goetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366972283 PECOS PAC ID: 6204106602 Enrollment ID: I20170718001643 |
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