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ELIZABETH A. GOEDECKE PA-C
NPI 1265589436
Physician Assistant in Lackland A F B, TX

Active since January 03, 2007PECOS Enrolled
2200 BERGQUIST DR, SUITE 1, LACKLAND A F B, TX 78236(210) 292-3871 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth A. Goedecke Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH A. GOEDECKE PA-C (NPI 1265589436) is an individual physician assistant in Lackland A F B, Texas, licensed in Texas (PA05062) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265589436
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELIZABETH A. GOEDECKECredential: PA-C
Location Address2200 BERGQUIST DR, SUITE 1Lackland A F B, TX 78236-9907
Mailing Address145 Lamont AveSan Antonio, TX 78209-3751 · (210) 273-0559
Phone(210) 292-3871
Sole ProprietorNo
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265589436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA05062
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2200 BERGQUIST DR, Lackland A F B, TX 78236
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth A. Goedecke Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALTON POWELL III MD
Preventive Medicine (Aerospace Medicine)
2200 BERGQUIST DR, SUITE 1 (ATTN:CREDENTIALS (CMC))
LACKLAND A F B, TX 78236
Bexar County (210) 292-6707
EMILY NELL PAVLIK MD
Emergency Medicine
2200 BERGQUIST DR, WILFORD HALL MED CTR, STE 1,DEPT. OF EMERGENCY MEDICINE
LACKLAND A F B, TX 78236
Bexar County (210) 292-7331
DR. BRIAN THOMAS CALLAHAN M.D.
Radiology (Diagnostic Radiology)
2200 BERGQUIST DR
LACKLAND A F B, TX 78236
Bexar County (210) 292-2205
DR. JAMES CLAUD CHAPMAN O.D.
Optometrist
2200 BERGQUIST DR, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Bexar County (210) 292-2651
DEREK KURT URBAN MD
Radiology (Diagnostic Radiology)
2200 BERGQUIST DR, SUITE 1
LACKLAND A F B, TX 78236
Bexar County (210) 292-6707
DR. DANIEL JAMES SMITH DMD
Dentist
2200 BERGQUIST DR, SUITE 1
LACKLAND A F B, TX 78236
Bexar County (210) 292-7749
DR. LOUIS D. ELDREDGE M.D.
Preventive Medicine (Aerospace Medicine)
2200 BERGQUIST DR, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Bexar County (210) 536-6931
DR. ALEX A DEPERALTA JR. D.D.S.
Dentist (General Practice)
2200 BERGQUIST DR, SUITE 1
LACKLAND A F B, TX 78236
Bexar County (210) 292-7876

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Goedecke's NPI number?

The NPI number for Elizabeth Goedecke is 1265589436. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Elizabeth Goedecke located?

Elizabeth Goedecke practices at 2200 Bergquist Dr Suite 1, Lackland A F B, TX 78236. The listed phone number is (210) 292-3871.

What is Elizabeth Goedecke's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Elizabeth Goedecke enrolled in Medicare?

Yes. Elizabeth Goedecke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Goedecke was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.