Mrs Colleen King Goode, DNP, MA, FNP-BC, CNE is a medicare enrolled "Nurse Practitioner - Family" physician in Gambrills, Maryland. Her current practice location is
1404 S Main Chapel Way Ste 104, Gambrills, Maryland. You can reach out to her office (for appointments etc.) via phone at
(443) 814-9108.
Mrs Colleen King Goode is licensed to practice in Maryland (license number R201512) 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 1508859984.
Physician's Profile
Full Name | Mrs Colleen King Goode |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Family |
---|
Location | 1404 S Main Chapel Way Ste 104, Gambrills, Maryland |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508859984
- Provider Enumeration Date: 08/31/2005
- Last Update Date: 02/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 6406220193
- Enrollment ID: I20230320003075
Medical Identifiers
Medical identifiers for Mrs Colleen King Goode such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508859984 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | R201512 (Maryland) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | R201512 (Maryland) | 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. Mrs Colleen King Goode allows following entities to bill medicare on her behalf.
Entity Name | Rupinder Singh Md Pc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1144681263 PECOS PAC ID: 0749573780 Enrollment ID: O20160728000033 |
---|
Entity Name | David A Gordon Pc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1235590357 PECOS PAC ID: 8729373691 Enrollment ID: O20160817002124 |
---|
Entity Name | Colleen King Goode Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1679255889 PECOS PAC ID: 8527421130 Enrollment ID: O20230830001827 |
---|
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 Colleen King Goode 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 Colleen King Goode, DNP, MA, FNP-BC, CNE 2947 Robin Rd, York, PA 17404-5769 Ph: () - | Mrs Colleen King Goode, DNP, MA, FNP-BC, CNE 1404 S Main Chapel Way Ste 104, Gambrills, MD 21054-1860 Ph: (443) 814-9108 |
Reviews and Comments