Jacey E Goddard, DO is a medicare enrolled "Neuromusculoskeletal Medicine & Omm" physician in Freeport, Maine. She went to West Virginia School Of Osteopathic Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Osteopathic Manipulative Medicine. She is a member of the group practice Freeport Osteopathic Health Pc and her current practice location is
491 Us Route 1, Freeport, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 865-6655.
Jacey E Goddard is licensed to practice in Maine (license number 1766) 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 1073569216.
Physician's Profile
Full Name | Jacey E Goddard |
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Gender | Female |
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Speciality | Osteopathic Manipulative Medicine |
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Experience | 23 Years |
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Location | 491 Us Route 1, Freeport, Maine |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jacey E Goddard attended and graduated from West Virginia School Of Osteopathic Medicine in 2001
NPI Data:
- NPI Number: 1073569216
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 05/03/2016
Medicare PECOS Information:
- PECOS PAC ID: 8224008784
- Enrollment ID: I20040730000602
Medical Identifiers
Medical identifiers for Jacey E Goddard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073569216 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 1766 (Maine) | Secondary |
204D00000X | Neuromusculoskeletal Medicine & Omm | 1766 (Maine) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Freeport Osteopathic Health Pc | 3577735695 | 2 |
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. Jacey E Goddard allows following entities to bill medicare on her behalf.
Entity Name | Maine Medical Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467477349 PECOS PAC ID: 9335043967 Enrollment ID: O20031125000026 |
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Entity Name | Mainehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639194509 PECOS PAC ID: 7517860588 Enrollment ID: O20040206000472 |
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Entity Name | Mainehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
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Entity Name | Freeport Osteopathic Health Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093002438 PECOS PAC ID: 3577735695 Enrollment ID: O20111017000026 |
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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. Jacey E Goddard 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 |
Jacey E Goddard, DO 491 Us Route 1, Freeport, ME 04032-7021 Ph: (207) 865-6655 | Jacey E Goddard, DO 491 Us Route 1, Freeport, ME 04032-7021 Ph: (207) 865-6655 |
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