Ms Jerolyn Mae Goodman, RDN, LD is a
Dietitian, Registered based in Benbrook, Texas. Ms Jerolyn Mae Goodman is licensed to practice in Texas (license number DT84176) and her current practice location is
1405 Mercedes St, Benbrook, Texas. She can be reached at her office (for appointments etc.) via phone at
(817) 249-2423.
NPI number for Ms Jerolyn Mae Goodman is 1861946402 and her current mailing address is 1405 Mercedes St, Benbrook, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861946402.
Healthcare Provider's Profile
Full Name | Ms Jerolyn Mae Goodman |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 1405 Mercedes St, Benbrook, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861946402
- Provider Enumeration Date: 08/11/2016
- Last Update Date: 08/11/2016
Medical Identifiers
Medical identifiers for Ms Jerolyn Mae Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861946402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DT84176 (Texas) | 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. Ms Jerolyn Mae Goodman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Jerolyn Mae Goodman, RDN, LD 1405 Mercedes St, Benbrook, TX 76126-2809 Ph: (817) 249-2423 | Ms Jerolyn Mae Goodman, RDN, LD 1405 Mercedes St, Benbrook, TX 76126-2809 Ph: (817) 249-2423 |
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