Lisa J Godwin, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Blaine, Tennessee. Her current practice location is
880 Rutledge Pike, Blaine, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 933-4110.
Lisa J Godwin is licensed to practice in Tennessee (license number 24714) 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 1659855435.
Physician's Profile
Full Name | Lisa J Godwin |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 880 Rutledge Pike, Blaine, Tennessee |
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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:
- Lisa J Godwin attended and graduated from in
NPI Data:
- NPI Number: 1659855435
- Provider Enumeration Date: 09/18/2018
- Last Update Date: 12/03/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Lisa J Godwin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659855435 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 24714 (Tennessee) | Secondary |
363LF0000X | Nurse Practitioner - Family | 24714 (Tennessee) | 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. Lisa J Godwin 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 |
Lisa J Godwin, FNP-C 1923 Sulphur Springs Rd, Morristown, TN 37813-5654 Ph: (423) 317-9344 | Lisa J Godwin, FNP-C 880 Rutledge Pike, Blaine, TN 37709-2317 Ph: (865) 933-4110 |
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