MR. PETER VERNON GOETCHIUS PHYSICIAN ASSISTANT
NPI 1285610451
Physician Assistant - Medical in Fort Drum, NY

Active since December 20, 2005PECOS Enrolled
11050 MOUNT BELVEDERE BLVD, USA MEDDAC ATTN: CREDENTIALS, FORT DRUM, NY 13602(315) 772-4025(315) 772-9498 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About PETER GOETCHIUS

This page provides the complete NPI Profile along with additional information for Peter Goetchius, a primary care provider established in Fort Drum, New York with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1285610451 assigned on December 2005. The practitioner's primary taxonomy code is 363AM0700X with license number 000219-0 (NY). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1285610451 Verify this NPI
Provider Name
MR. PETER VERNON GOETCHIUS PHYSICIAN ASSISTANT
Gender
Male
Entity Type
Individual
Location Address
11050 MOUNT BELVEDERE BLVD USA MEDDAC ATTN: CREDENTIALS FORT DRUM, NY 13602
Location Phone
(315) 772-4025
Location Fax
(315) 772-9498
Mailing Address
11050 MOUNT BELVEDERE BLVD USA MEDDAC ATTN: CREDENTIALS FORT DRUM, NY 13602
Mailing Phone
(315) 772-4025
Mailing Fax
(315) 772-9498
Is Sole Proprietor?
No
Enumeration Date
12-20-2005
Last Update Date
05-20-2008
Code Navigator

A primary care provider (PCP) like Peter Goetchius sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
000219-0
License State
NY

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
VAD000MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Peter Goetchius is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for MR. PETER VERNON GOETCHIUS PHYSICIAN ASSISTANT

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Family Medicine
11050 MOUNT BELVEDERE BLVD, USA MEDDAC ATTN: CREDENTIALS
FORT DRUM, NY 13602
Pediatrics (Adolescent Medicine)
11050 MOUNT BELVEDERE BLVD, ATTN: CREDENTIALS
FORT DRUM, NY 13602
Military Health Care Provider
11050 MOUNT BELVEDERE BLVD, USA MEDDAC/CREDENTIALS
FORT DRUM, NY 13602
Family Medicine
11050 MOUNT BELVEDERE BLVD, USA MEDDAC
FORT DRUM, NY 13602
Podiatrist
11050 MOUNT BELVEDERE BLVD, USAMEDDAC/CREDENTIALS
FORT DRUM, NY 13602
Social Worker (Clinical)
11050 MOUNT BELVEDERE BLVD, USA MEDDAC ATTN: CREDENTIALS
FORT DRUM, NY 13602
Physical Therapist
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Physician Assistant (Medical)
11050 MOUNT BELVEDERE BLVD, USA MEDDAC/CREDENTIALS
FORT DRUM, NY 13602
Dietitian, Registered
11050 MOUNT BELVEDERE BLVD, USA MEDDAC, ATTN: CREDENTIALS
FORT DRUM, NY 13602
Occupational Therapist
11050 MOUNT BELVEDERE BLVD, USA MEDDAC, ATTN: CREDENTIALS
FORT DRUM, NY 13602
Nurse Practitioner (Family)
11050 MOUNT BELVEDERE BLVD, USA MEDDAC ATTN: CREDENTIALS
FORT DRUM, NY 13602
Physician Assistant
11050 MOUNT BELVEDERE BLVD, USA MEDDAC ATTN: CREDENTIALS
FORT DRUM, NY 13602
Physician Assistant (Medical)
11050 MOUNT BELVEDERE BLVD, USA MEDDAC ATTN: CREDENTIALS
FORT DRUM, NY 13602
Physician Assistant
11050 MOUNT BELVEDERE BLVD, USA MEDDAC
FORT DRUM, NY 13602
Counselor (Addiction (Substance Use Disorder))
11050 MOUNT BELVEDERE BLVD, USA MEDDAC
FORT DRUM, NY 13602
Family Medicine
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Physician Assistant (Medical)
11050 MOUNT BELVEDERE BLVD, USA MEDDAC/CREDENTIALS
FORT DRUM, NY 13602
Physician Assistant (Medical)
11050 MOUNT BELVEDERE BLVD
WATERTOWN, NY 13602
Physician Assistant
11050 MOUNT BELVEDERE BLVD, USA MEDDAC/ CREDENTIALS
FORT DRUM, NY 13602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285610451, enumerated as an "individual" on December 20, 2005.

The provider is located at 11050 MOUNT BELVEDERE BLVD USA MEDDAC ATTN: CREDENTIALS FORT DRUM, NY 13602 and the phone number is (315) 772-4025.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.