Hannah Leigh Goodrum, PA-C is a medicare enrolled "Physician Assistant - Surgical" physician in Cary, North Carolina. Her current practice location is
210 Ashville Ave, Cary, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 350-9355.
Hannah Leigh Goodrum is licensed to practice in North Carolina (license number 0010-12258) 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 1073246203.
Physician's Profile
Full Name | Hannah Leigh Goodrum |
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Gender | Female |
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Speciality | Physician Assistant - Surgical |
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Location | 210 Ashville Ave, Cary, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073246203
- Provider Enumeration Date: 07/06/2022
- Last Update Date: 06/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749656296
- Enrollment ID: I20221025000718
Medical Identifiers
Medical identifiers for Hannah Leigh Goodrum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073246203 | NPI | - | NPPES |
1073246203 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0102X | Surgery - Surgical Critical Care | 0010-12258 (North Carolina) | Secondary |
363A00000X | Physician Assistant | 0010-12258 (North Carolina) | Secondary |
363AS0400X | Physician Assistant - Surgical | 0010-12258 (North Carolina) | 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. Hannah Leigh Goodrum 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 |
Hannah Leigh Goodrum, PA-C 3024 New Bern Ave, Raleigh, NC 27610-1247 Ph: (919) 350-7331 | Hannah Leigh Goodrum, PA-C 210 Ashville Ave, Cary, NC 27518-6676 Ph: (919) 350-9355 |
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