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Bethany Adeline Goddiess

• Female

Medical Specialty

• Audiologist

Professional ID

• NPI: 1780125385
• PECOS ID: 4981989183
• Enrollment ID: I20170331000043
• Credential(MD, DO, DPM):
• Medical School: University Of Connecticut School Of Medicine
• Medical School Graduation Year: 2016

Medical Practices

• Organization Name: Ent And Allergy Inc
• Group Practice ID assigned by PECOS: 5991768699
• Number of Group Practice member: 7

Location

• Address1: 3520 Post Rd
• Address2:
• City: Warwick
• State: Rhode Island
• Zip Code: 02886
• Phone Number: (401)921-5800

Location

• Address1: 900 Warren Ave
• Address2: Suite 303
• City: East Providence
• State: Rhode Island
• Zip Code: 02914
• Phone Number: (401)435-5644

Medicare

• Medicare Assignment: Yes
• Report Quality of Care to Physician Quality Reporting System (PQRS):
• Used Electronic health record (EHR):