Denise M Goodberlet (NPI# 1235450909, PAC ID# 0941463285) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1235450909 |
| PAC ID by PECOS | 0941463285 |
| Professional Enrollment ID | I20120523000492 |
| Full Name | Denise M Goodberlet |
| Organization Legal Name | BROCKPORT MEDICAL CARE PLLC |
| Address |
6565 4th Section Rd Suite 100 Brockport NY 14420-2414 |
| Phone Number | 5853913988 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3971739442 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6565 4th Section Rd, Suite 100, Brockport, NY 14420-2414 | 5853913988 | BROCKPORT MEDICAL CARE PLLC |
| 565 Abbott Rd, Buffalo, NY 14220-2039 | 7168267000 | MERCY HOSPITAL OF BUFFALO |
| Organization Legal Name | BROCKPORT MEDICAL CARE PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael H Loeb | Family Medicine | Brockport Medical Care Pllc | 6565 4th Section Rd, Suite 100, Brockport, NY 14420-2414 |
| Kyle Heassler | Physician Assistant | Brockport Medical Care Pllc | 6565 4th Section Rd, Suite 100, Brockport, NY 14420-2414 |
| Street Address |
6565 4TH SECTION RD SUITE 100 |
| City | BROCKPORT |
| State | NY |
| Zip | 14420-2414 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hany G Nissiem | Family Medicine | 6565 4th Section Rd, Suite 300, Brockport, NY 14420-2416 | |
| Michael H Loeb | Family Medicine | Brockport Medical Care Pllc | 6565 4th Section Rd, Suite 100, Brockport, NY 14420-2414 |
| Catherine E Newton | Clinical Social Worker | 6565 4th Section Rd, Suite 700, Brockport, NY 14420-2415 | |
| Deborah A Burke Gravetter | Clinical Social Worker | 6565 4th Section Rd, Suite 400, Brockport, NY 14420-2415 | |
| Kyle Heassler | Physician Assistant | Brockport Medical Care Pllc | 6565 4th Section Rd, Suite 100, Brockport, NY 14420-2414 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John L Hoffmann | Emergency Medicine | Oak Orchard Community Health Center, Inc. | 300 W Ave, Brockport, NY 14420-1118 |
| Uzma S Mehr | Pediatric Medicine | Oak Orchard Community Health Center, Inc. | 300 W Ave, Brockport, NY 14420-1118 |
| Catherine M Goetz | Physician Assistant | Oak Orchard Community Health Center, Inc. | 300 W Ave, Brockport, NY 14420-1118 |
| Elaine C Burritt | Physician Assistant | Oak Orchard Community Health Center, Inc. | 300 W Ave, Brockport, NY 14420-1118 |
| Shauna Marie Ketchum | Physician Assistant | Oak Orchard Community Health Center, Inc. | 300 W Ave, Brockport, NY 14420-1118 |
| Christopher J Sigillo | Chiropractic | 18 Graves St, Brockport, NY 14420-1206 | |
| Thomas R Adler | Allergy/immunology | Westside Allergy Care, PC | 122 W Ave, Suite 6, Brockport, NY 14420-1225 |
| Anitha V Shrikhande | Allergy/immunology | Westside Allergy Care, PC | 122 W Ave, Suite 6, Brockport, NY 14420-1225 |
| Jade J Malcho | Emergency Medicine | Emergency Associates - University of Rochester | 156 W Ave, Brockport, NY 14420-1229 |
| Sandeep Mannava | Orthopedic Surgery | University Orthopaedic Associates of Rochester | 156 W Ave, Brockport, NY 14420-1229 |
| Find all physicians in zip 14420 | |||
| City | BROCKPORT |
| Zip Code | 14420 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BROCKPORT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Denise M Goodberlet.
| 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.