Mrs Amanda L Goodenow, NP-C is a medicare enrolled "Nurse Practitioner" physician in Bryan, Texas. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Davids Heart And Vascular Pllc and her current practice location is
2605 Osler Blvd, Bryan, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 807-3150.
Mrs Amanda L Goodenow is licensed to practice in Texas (license number AP142820) 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 1588203533.
Physician's Profile
| Full Name | Mrs Amanda L Goodenow |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 5 Years |
|---|
| Location | 2605 Osler Blvd, Bryan, Texas |
|---|
| 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:
- Mrs Amanda L Goodenow graduated from medical school in 2019
NPI Data:
- NPI Number: 1588203533
- Provider Enumeration Date: 12/21/2019
- Last Update Date: 12/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 5092141796
- Enrollment ID: I20200128001606
Medical Identifiers
Medical identifiers for Mrs Amanda L Goodenow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588203533 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | AP142820 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | AP142820 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St Davids Heart And Vascular Pllc | 7012821879 | 171 |
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. Mrs Amanda L Goodenow allows following entities to bill medicare on her behalf.
| Entity Name | St Davids Heart & Vascular Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1700887700
PECOS PAC ID: 7012821879
Enrollment ID: O20031117000103 |
|---|
| Entity Name | St Joseph Regional Health Center |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1669557179
PECOS PAC ID: 5294727921
Enrollment ID: O20040401000670 |
|---|
| Entity Name | Hospitalist Medicine Physicians Of Texas Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1629307095
PECOS PAC ID: 3476688318
Enrollment ID: O20100317001021 |
|---|
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. Mrs Amanda L Goodenow 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 |
|---|
Mrs Amanda L Goodenow, NP-C
3000 N. Ih-35, Suite 700,
Austin, TX 78705
Ph: (512) 807-3150 | Mrs Amanda L Goodenow, NP-C
2605 Osler Blvd,
Bryan, TX 77802
Ph: (512) 807-3150 |
Reviews and Comments