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AIDAN GOODREAU PA-C
NPI 1316811508
Physician Assistant in Texarkana, TX

Active since October 01, 2025PECOS EnrolledAccepts Medicare Assignment
2604 SAINT MICHAEL DR STE 425, TEXARKANA, TX 75503(903) 614-5641 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aidan Goodreau Pa-c NPPES

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

AIDAN GOODREAU PA-C (NPI 1316811508) is an individual physician assistant in Texarkana, Texas, licensed in Texas (PA19604) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS, is affiliated with Christus St Michael Health System, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1316811508
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameAIDAN GOODREAUCredential: PA-C
Location Address2604 SAINT MICHAEL DR STE 425Texarkana, TX 75503-2378
Mailing Address2604 Saint Michael Dr Ste 425Texarkana, TX 75503-2378
Phone(903) 614-5641
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 1, 2025
Last NPPES UpdateNovember 6, 2025
NPPES CertifiedNovember 6, 2025
✔ NPI 1316811508 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 · PA19604
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.
2604 SAINT MICHAEL DR STE 425, Texarkana, TX 75503
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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 and accepts Medicare assignment

Aidan Goodreau Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466944921
PECOS Enrollment IDI20251121002936
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450801
Location2600 St Michael DrTexarkana, TX 75503 · Bowie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75503 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 4

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

JAMIE SHARI LANDRETH PA
Physician Assistant
2604 SAINT MICHAEL DR STE 425
TEXARKANA, TX 75503
Bowie County (903) 614-5600
MRS. AMBER D BETHEA PA-C
Physician Assistant (Surgical)
2604 SAINT MICHAEL DR STE 425
TEXARKANA, TX 75503
Bowie County (903) 614-5600
DR. THOMAS T HOANG MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2604 SAINT MICHAEL DR STE 425
TEXARKANA, TX 75503
Bowie County (903) 614-5600
HARRY KOURLIS JR. MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2604 SAINT MICHAEL DR STE 425
TEXARKANA, TX 75503
Bowie County (903) 614-5630

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 Aidan Goodreau's NPI number?

The NPI number for Aidan Goodreau is 1316811508. It was assigned to this individual provider in the NPPES registry on October 1, 2025.

Where is Aidan Goodreau located?

Aidan Goodreau practices at 2604 Saint Michael Dr Ste 425, Texarkana, TX 75503. The listed phone number is (903) 614-5641.

What is Aidan Goodreau's specialty?

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

Is Aidan Goodreau enrolled in Medicare?

Yes. Aidan Goodreau is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Aidan Goodreau affiliated with any hospitals?

According to CMS data, Aidan Goodreau is affiliated with Christus St Michael Health System.

When was this NPI record last updated?

The NPPES record for Aidan Goodreau was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.