Amy M Goetz (NPI# 1962598367, PAC ID# 8921008723) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1962598367 |
| PAC ID by PECOS | 8921008723 |
| Professional Enrollment ID | I20160315002703 |
| Full Name | Amy M Goetz |
| Organization Legal Name | K WADE FOSTER MDPA |
| Address |
421 Linden Ln Lake Wales FL 33853-4342 |
| Phone Number | 8636763411 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3173663374 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 931 S Us Hwy 41, Inverness, FL 34450-6860 | 3526371310 | K WADE FOSTER MDPA |
| 421 Linden Ln, Lake Wales, FL 33853-4342 | 8636763411 | K WADE FOSTER MDPA |
| 1450 6th St Se, Winter Haven, FL 33880-4505 | 8632932147 | K WADE FOSTER MDPA |
| Organization Legal Name | K WADE FOSTER MDPA |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffanie Wong | Dermatology | K Wade Foster Mdpa | 609 Indian Rocks Rd, Belleair, FL 33756-2056 |
| Rebecca C. Tung | Dermatology | K Wade Foster Mdpa | 1450 6th St Se, Winter Haven, FL 33880-4505 |
| Laura Ann Atallah | Nurse Practitioner | K Wade Foster Mdpa | 3200 Medical Way, Sebring, FL 33870-5419 |
| Jared T Simmons | Nurse Practitioner | K Wade Foster Mdpa | 1052 Downing Cir, Wauchula, FL 33873-3358 |
| Merrill Ann Hart | Physician Assistant | K Wade Foster Mdpa | 421 Linden Ln, Lake Wales, FL 33853-4342 |
| David Freitag | Dermatology | K Wade Foster Mdpa | 26800 S Tamiami Trl, Suite 360, Bonita Springs, FL 34134-4355 |
| Kenneth A Wallace Iii | Dermatology | K Wade Foster Mdpa | 836 Cr, Suite 466, Lady Lake, FL 32159-8804 |
| Cheryl L Campbell | Nurse Practitioner | K Wade Foster Mdpa | 1450 6th St Se, Winter Haven, FL 33880-4505 |
| Christy A Merrick | Nurse Practitioner | K Wade Foster Mdpa | 1450 6th St Se, Winter Haven, FL 33880-4505 |
| Kent W Foster | Dermatology | K Wade Foster Mdpa | 1450 6th St Se, Winter Haven, FL 33880-4505 |
| Street Address |
421 LINDEN LN |
| City | LAKE WALES |
| State | FL |
| Zip | 33853-4342 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Merrill Ann Hart | Physician Assistant | K Wade Foster Mdpa | 421 Linden Ln, Lake Wales, FL 33853-4342 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Georgianna W Sorensen | Nurse Practitioner | 237 E Park Ave, Lake Wales, FL 33853-3705 | |
| Boris D Nunez | Cardiovascular Disease (cardiology) | 320 Sr 60, Lake Wales, FL 33853-3750 | |
| Gilberto A Lozano | Internal Medicine | 320 State Rd 60, Suite 301, Lake Wales, FL 33853-3750 | |
| Dominiqua Lint | Nurse Practitioner | Central Florida Health Care Inc | 305 W Central Ave, Central Florida Health Care Lake Wa, Lake Wales, FL 33853-4015 |
| Beatrice Aime Celian | General Practice | Central Florida Health Care Inc | 305 W Central Ave, Central Florida Health Care Lake Wa, Lake Wales, FL 33853-4015 |
| Tiffany L Garner | Nurse Practitioner | Central Florida Health Care Inc | 305 W Central Ave, Central Florida Health Care Lake Wa, Lake Wales, FL 33853-4015 |
| Robert D Bazley | Obstetrics/gynecology | Florida Department of Health | 835 W Central Ave, Lake Wales, FL 33853-4024 |
| Leonilo V Trono | Physical Therapy | Core Rehabilitation Inc | 61 W Central Ave, Lake Wales, FL 33853-4113 |
| Kenneth Neigut | Diagnostic Radiology | Central Florida Cancer Institute Pa | 22 State Rd 60, Lake Wales, FL 33853-4118 |
| Bade Akintan | Urology | Central Florida Cancer Institute Pa | 22 State Rd 60, Lake Wales, FL 33853-4118 |
| Find all physicians in zip 33853 | |||
| City | LAKE WALES |
| Zip Code | 33853 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LAKE WALES + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Amy M Goetz.
| 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.