Penny Goudelock, PA - Medicare in Everett, WA

Penny Goudelock, PA is a medicare enrolled "Physician Assistant - Medical" in Everett, Washington. Her current practice location is 1100 Pacific Ave, Suite 202, Everett, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 388-4075.

Penny Goudelock is licensed to practice in Washington (license number PA10005160) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043433352.

Contact Information

Penny Goudelock, PA
1100 Pacific Ave, Suite 202,
Everett, WA 98201-4261
(425) 388-4075
Not Available



Provider's Profile

Full NamePenny Goudelock
GenderFemale
Speciality
Experience Years
Location1100 Pacific Ave, Everett, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Penny Goudelock attended and graduated from in
  NPI Data:
  • NPI Number: 1043433352
  • Provider Enumeration Date: 04/11/2007
  • Last Update Date: 04/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Penny Goudelock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043433352NPI-NPPES
8485898MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA10005160 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Penny Goudelock is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Penny Goudelock, PA
18012 W Valley Hwy, Ste 101,
Kent, WA 98032-2924

Ph: (425) 291-3300
Penny Goudelock, PA
1100 Pacific Ave, Suite 202,
Everett, WA 98201-4261

Ph: (425) 388-4075

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› Verified 9 days ago


Physician Assistant Nurses in Everett, WA

Mr. James Potocsnak, PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2320 Rucker Ave, Everett, WA 98201
Phone: 425-259-5121    Fax: 425-252-1322
Michael James Oliver,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3726 Broadway Ste 201, Everett, WA 98201
Phone: 425-317-9119    
Karen M Tooley, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1330 Rockefeller Ave, Suite 400, Everett, WA 98201
Phone: 425-261-4950    
Gary K. Baal, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1321 Colby Ave, Everett, WA 98201
Phone: 425-261-2000    
Travis B. Adelman, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4201 Rucker Ave, Everett, WA 98203
Phone: 425-382-4000    
Ms. Jodi Stickler-ivie, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1321 Colby Ave, Everett, WA 98201
Phone: 425-261-2000    
Fantahun Mulugeta Tedla, P.A-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3927 Rucker Ave, Everett, WA 98201
Phone: 425-339-5422    Fax: 425-339-5444

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