Goodside Health Medical, Pllc in Raleigh, NC

Goodside Health Medical, Pllc is a medicare enrolled primary clinic (Pediatrics) in Raleigh, North Carolina. The current practice location for Goodside Health Medical, Pllc is 209 Fayetteville St Ste 1-c, Raleigh, North Carolina. For appointments, you can reach them via phone at (512) 884-5190. The mailing address for Goodside Health Medical, Pllc is 1701 River Run Ste 302, Fort Worth, Texas and phone number is () -.

Goodside Health Medical, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1386496636. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (512) 884-5190.

Contact Information

	Goodside Health Medical, Pllc
	209 Fayetteville St Ste 1-c Raleigh NC 27601-1309
	(512) 884-5190
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Goodside Health Medical, Pllc
Speciality	Pediatrics
Location	209 Fayetteville St Ste 1-c, Raleigh, North Carolina
Authorized Official Name and Position	Gerardo Reyes (OWNER)
Authorized Official Contact	5128845190
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Goodside Health Medical, Pllc 1701 River Run Ste 302 Fort Worth TX 76107-6547 Ph: () -	Goodside Health Medical, Pllc 209 Fayetteville St Ste 1-c Raleigh NC 27601-1309 Ph: (512) 884-5190

NPI Details:

NPI Number	1386496636
Provider Enumeration Date	04/02/2024
Last Update Date	04/02/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	1557745478
Medicare Enrollment ID	O20240603003586

Medical Identifiers

Medical identifiers for Goodside Health Medical, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386496636	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
207R00000X	Internal Medicine	(* (Not Available))	Secondary
208000000X	Pediatrics	(* (Not Available))	Primary
261Q00000X	Clinic/center	(* (Not Available))	Secondary
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Secondary
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363L00000X	Nurse Practitioner	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Goodside Health Medical, Pllc acts as a billing entity for following providers:

Provider Name	Gerardo Reyes
Provider Type	Practitioner - Pediatric Medicine
Provider Identifiers	NPI Number: 1194767954 PECOS PAC ID: 1153429576 Enrollment ID: I20240619001490

Provider Name	Domingo Palomo
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1275025983 PECOS PAC ID: 2062849235 Enrollment ID: I20240719002518

Provider Name	Julia Lowe
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1992050314 PECOS PAC ID: 9638326218 Enrollment ID: I20241009002805

Reviews and Comments

Pediatrics in Raleigh, NC

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Wakefield Pediatrics & Adolescent Medicine,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14341 New Falls Of Neuse, Suite 122, Raleigh, NC 27614 Phone: 919-570-7010 Fax: 919-570-7020
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Goodside Health Medical, Pllc - Medicare Primary Care in Raleigh, NC