Dr Jennifer L Good, MD is a medicare enrolled "Hospitalist" physician in Wauwatosa, Wisconsin. Her current practice location is
1155 N Mayfair Rd, Wauwatosa, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 955-5990.
Dr Jennifer L Good is licensed to practice in Wisconsin (license number 31744) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720039951.
Physician's Profile
| Full Name | Dr Jennifer L Good |
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| Gender | Female |
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| Speciality | Hospitalist |
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| Location | 1155 N Mayfair Rd, Wauwatosa, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720039951
- Provider Enumeration Date: 05/12/2006
- Last Update Date: 04/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 4587696315
- Enrollment ID: I20150521001573
Medical Identifiers
Medical identifiers for Dr Jennifer L Good such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720039951 | NPI | - | NPPES |
| 0015599400003 | Medicaid | PA | |
| 20274 | Other | PA | GEISINGER HEALTH PLAN |
| 828235 | Other | PA | HIGHMARK BC/BS |
| 290008338 | Other | | RAILROAD MEDICARE |
| 72476 | Other | PA | UNISON HEALTH PLAN |
| P000533 | Other | PA | GATEWAY HEALTH PLAN |
| 1720039951 | Medicaid | WI | |
| 203559 | Other | PA | UPMC HEALTH PLAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 31744-20 (Wisconsin) | Secondary |
| 207R00000X | Internal Medicine | 31744 (Wisconsin) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | MD057253L (Pennsylvania) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | MD057253L (Pennsylvania) | Secondary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | MD057253L (Pennsylvania) | Secondary |
| 208M00000X | Hospitalist | 31744 (Wisconsin) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jennifer L Good allows following entities to bill medicare on her behalf.
| Entity Name | The Medical College Of Wisconsin Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259 |
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| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568787448
PECOS PAC ID: 3678760063
Enrollment ID: O20101210000699 |
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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. Dr Jennifer L Good 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 Address | Practice Location Address |
|---|
Dr Jennifer L Good, MD
9200 W Wisconsin Ave, Internal Medicine Hospitalist,
Milwaukee, WI 53226-3522
Ph: (414) 805-0812 | Dr Jennifer L Good, MD
1155 N Mayfair Rd,
Wauwatosa, WI 53226-3462
Ph: (414) 955-5990 |
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