Dorcas B Goodman (NPI# 1467520114, PAC ID# 3375448806) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1467520114 |
PAC ID by PECOS | 3375448806 |
Professional Enrollment ID | I20031205000718 |
Full Name | Dorcas B Goodman |
Organization Legal Name | PANCARE OF FLORIDA, INC |
Address |
11033 Nw State Rd Suite 20 Bristol FL 32321-6406 |
Phone Number | 8506431155 |
Gender | F |
Credential | NP |
Graduation Year | 1999 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 3476574229 |
Number of Group Practice Members | 23 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
101304 | CALHOUN-LIBERTY HOSPITAL |
Address | Phone | Organization |
---|---|---|
11033 Nw State Rd, Suite 20, Bristol, FL 32321-6406 | 8506431155 | PANCARE OF FLORIDA, INC |
Organization Legal Name | PANCARE OF FLORIDA, INC |
Physicians | 21 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kayla Renae Sherrouse | Nurse Practitioner | Pancare of Florida, Inc | 479 State Hwy 20 E, Freeport, FL 32439-3931 |
Thomas Gregory Kuerbitz | Physician Assistant | Pancare of Florida, Inc | 403 E 11th St, Panama City, FL 32401-3409 |
Harold Crew Mason | Family Medicine | Pancare of Florida, Inc | 11033 Nw State Rd, Suite 20, Bristol, FL 32321-6406 |
Rosa I Bernier | Family Medicine | Pancare of Florida, Inc | 2309 E 15th St, Panama City, FL 32405-6345 |
Sandra J Ford | Family Medicine | Pancare of Florida, Inc | 495 Saint Johns Rd, Bonifay, FL 32425-4237 |
Michael Thad Owens | Nurse Practitioner | Pancare of Florida, Inc | 2309 E 15th St, Panama City, FL 32405-6345 |
Simeon H Vilchez | General Practice | Pancare of Florida, Inc | 403 E 11th St, Panama City, FL 32401-3409 |
Lauren B Youtz | Physician Assistant | Pancare of Florida, Inc | 11033 Nw State Rd, Suite 20, Bristol, FL 32321-6406 |
Lynda J Drinkard | Nurse Practitioner | Pancare of Florida, Inc | 2309 E 15th St, Panama City, FL 32405-6345 |
Angela Marie Kuerbitz | Physician Assistant | Pancare of Florida, Inc | 11033 Nw State Rd, Suite 20, Bristol, FL 32321-6406 |
Street Address |
11033 NW STATE RD SUITE 20 |
City | BRISTOL |
State | FL |
Zip | 32321-6406 |
Name | Specialty | Organization | Address |
---|---|---|---|
Harold Crew Mason | Family Medicine | Pancare of Florida, Inc | 11033 Nw State Rd, Suite 20, Bristol, FL 32321-6406 |
Lauren B Youtz | Physician Assistant | Pancare of Florida, Inc | 11033 Nw State Rd, Suite 20, Bristol, FL 32321-6406 |
Angela Marie Kuerbitz | Physician Assistant | Pancare of Florida, Inc | 11033 Nw State Rd, Suite 20, Bristol, FL 32321-6406 |
Marsana Brunner | Nurse Practitioner | Pancare of Florida, Inc | 11033 Nw State Rd, Suite 20, Bristol, FL 32321-6406 |
Name | Specialty | Organization | Address |
---|---|---|---|
Heather M King | Clinical Social Worker | 10611 Nw State Rd, Suite 20, Bristol, FL 32321-3441 | |
Rita M Smith | Nurse Practitioner | Florida Department of Health | 10971 Nwspring St, Bristol, FL 32321-6917 |
City | BRISTOL |
Zip Code | 32321 |
Specialty | NURSE PRACTITIONER |
City + Specialty | BRISTOL + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.