| Goshen Family Physicians | |
|
1811 Charlton Ct Goshen IN 46526-6464 | |
| (574) 534-8200 | |
| (574) 534-0411 |
| Full Name | Goshen Family Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 1811 Charlton Ct, Goshen, Indiana |
| Authorized Official Name and Position | Kathy E Mcclane (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5745340050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goshen Family Physicians 1811 Charlton Ct Goshen IN 46526-6464 Ph: (574) 534-8200 | Goshen Family Physicians 1811 Charlton Ct Goshen IN 46526-6464 Ph: (574) 534-8200 |
| NPI Number | 1033292735 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 02/01/2024 |
| Medicare PECOS PAC ID | 9739118308 |
|---|---|
| Medicare Enrollment ID | O20050804000771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033292735 | NPI | - | NPPES |
| 300085359 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Carla G Yoder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538263074 PECOS PAC ID: 5991788937 Enrollment ID: I20040610000577 |
| Provider Name | Deena R Elizalde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720172539 PECOS PAC ID: 1850361700 Enrollment ID: I20071030000424 |
| Provider Name | Bethany A Wait |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447458096 PECOS PAC ID: 6002972544 Enrollment ID: I20090306000493 |
| Provider Name | Lane C Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255402392 PECOS PAC ID: 5890984579 Enrollment ID: I20110112000170 |
| Provider Name | Barbara Joan Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669566246 PECOS PAC ID: 0345439022 Enrollment ID: I20110112000701 |
| Provider Name | Timothy D Thut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811906084 PECOS PAC ID: 9436188000 Enrollment ID: I20110112000935 |
| Provider Name | Amanda D Schmidt |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1598923997 PECOS PAC ID: 1557548096 Enrollment ID: I20110609000113 |
| Provider Name | Kathryn E Michalczyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528296373 PECOS PAC ID: 8527246974 Enrollment ID: I20110707000194 |
| Provider Name | Michael B Fecher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346690773 PECOS PAC ID: 7315239266 Enrollment ID: I20190618001101 |
| Provider Name | Jeff A Hire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114579307 PECOS PAC ID: 9436487857 Enrollment ID: I20190823000173 |
| Provider Name | Anne L Shenk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710334073 PECOS PAC ID: 7315231891 Enrollment ID: I20190926001677 |
| Provider Name | Frederick Lloyd Ruckersfeldt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316472905 PECOS PAC ID: 7810265410 Enrollment ID: I20200709000516 |
| Provider Name | Maira Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144954421 PECOS PAC ID: 6406230317 Enrollment ID: I20230427001818 |
| Provider Name | Timothy Aaron Lehman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437786233 PECOS PAC ID: 6406277755 Enrollment ID: I20231005002450 |
Maple City Health Care Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 213 Middlebury St, Goshen, IN 46528 Phone: 574-534-3300 Fax: 574-534-5412 | |
Krabill Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1806 Charlton Ct, Goshen, IN 46526 Phone: 574-534-2400 | |
Elkhart Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1122 Professional Dr, Goshen, IN 46526 Phone: 574-296-3291 Fax: 574-296-3383 | |
Goshen Health System Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2004 Elkhart Rd Ste A, Goshen, IN 46526 Phone: 574-364-2611 Fax: 574-364-2784 | |
Goshen Health System, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1814 Charlton Ct Ste A, Goshen, IN 46526 Phone: 574-533-4169 Fax: 574-534-8822 | |
Goshen Health System Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1615 Winsted Dr Ste 2, Goshen, IN 46526 Phone: 574-537-1625 Fax: 574-537-9384 |