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Robert Brett Goy

Anesthesiology

Allopathic & Osteopathic Physicians

100 Brewster Blvd, Camp Lejeune, NC 28547-2538

PECOS Enrollment

This provider is enrolled in PECOS as ROBERT GOY.

Based on the most recent information from CMS, provider Robert Brett Goy is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1053407320
Provider Type
Individual
Full Name
Goy, Robert Brett
Credential
D.O.

Gender
Male
Sole Proprietor
No
Enumeration Date
10/5/2006
Last Updated
1/4/2012

Contact Information

Practice Location

100 Brewster Blvd, Camp Lejeune, NC 28547-2538

(910) 450-4159

(910) 450-4194

Mailing Location

100 Brewster Blvd, Camp Lejeune, NC 28547-2538

(910) 450-4159

(910) 450-4194

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License 34010069 Ohio

Provider Identifiers

ID	Description	Issuer
ID 3154527	Description Medicaid	Issuer Unlisted Ohio

Robert Brett Goy

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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