Samantha Lee Goodin, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Danville, Kentucky. 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 Anjum Bux, Md, Psc and her current practice location is
210 W Main St, Danville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 550-2030.
Samantha Lee Goodin is licensed to practice in Kentucky (license number 3014150) 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 1518507193.
Physician's Profile
| Full Name | Samantha Lee Goodin |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 210 W Main St, Danville, Kentucky |
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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. |
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Medical Education and Training:
- Samantha Lee Goodin graduated from medical school in 2019
NPI Data:
- NPI Number: 1518507193
- Provider Enumeration Date: 01/10/2020
- Last Update Date: 05/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 1456764265
- Enrollment ID: I20210114002565
Medical Identifiers
Medical identifiers for Samantha Lee Goodin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518507193 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 3014150 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3014150 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Anjum Bux, Md, Psc | 9234456674 | 5 |
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. Samantha Lee Goodin allows following entities to bill medicare on her behalf.
| Entity Name | Anjum Bux, Md, Psc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780845347
PECOS PAC ID: 9234456674
Enrollment ID: O20150324002780 |
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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. Samantha Lee Goodin 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 |
|---|
Samantha Lee Goodin, APRN
Po Box 27833,
Belfast, ME 04915-2030
Ph: (888) 488-8289 | Samantha Lee Goodin, APRN
210 W Main St,
Danville, KY 40422-1812
Ph: (859) 550-2030 |
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