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Bianca L Goo

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

350 Pine State St, Lillington, NC 27546-9428

PECOS Enrollment

This provider is enrolled in PECOS as BIANCA GOO.

Based on the most recent information from CMS, provider Bianca L Goo 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 2 days ago.

Profile Details

Provider ID
1588995591
Provider Type
Individual
Full Name
Goo, Bianca L
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
1/15/2010
Last Updated
1/15/2010

Contact Information

Practice Location

350 Pine State St, Lillington, NC 27546-9428

(910) 893-9700

Unlisted Fax

Mailing Location

350 Pine State St, Lillington, NC 27546-9428

(910) 893-9700

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-02149 North Carolina

Bianca L Goo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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