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Sidney Lynn Goscinski

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

619 19th St S, Birmingham, AL 35249-5672

PECOS Enrollment

This provider is enrolled in PECOS as SIDNEY GOSCINSKI.

Based on the most recent information from CMS, provider Sidney Lynn Goscinski 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 5 days ago.

Profile Details

Provider ID
1467969196
Provider Type
Individual
Full Name
Goscinski, Sidney Lynn
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
1/3/2018
Last Updated
4/16/2018

Contact Information

Practice Location

619 19th St S, Birmingham, AL 35249-5672

(205) 934-4011

(205) 297-9411

Mailing Location

PO Box 55310, Birmingham, AL 35255-5310

(205) 934-4011

(205) 297-9411

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 1222 Alabama
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 1842 Alabama

Sidney Lynn Goscinski

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Meeks, Zachary E

Mcbrayer, Alyse

Hudson, Antonia

Bibb, Emory Leigh

Crunk, April Kilpatrick

Ambrosetti, Katharine

Donze, Abbey Layne

Walters, Jessica K

Hucaluk, Kyleigh Rebekkah

Moore, Caitlin