npidexNPI registry + Medicare data

BEATRICE GODBOULDT, PA-C

Medical Physician Assistant · LAS VEGAS, NV

Individual Active NPI 1457406241

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Medical Physician Assistant363AM0700X✓PA1710NV
Emergency Medicine Physician207P00000XPA12936CA
Physician Assistant363A00000XPA12936CA

Medicare eligibility

Part B
No
DME
Yes
Home health
No
Power mobility
Yes
Hospice
No

Other Medical Physician Assistant providers in Nevada

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.