Shea A Godwin, MD | |
250 Main St., Suite E, Cadiz, KY 42211 | |
(270) 522-6963 | |
(270) 522-7231 |
Full Name | Shea A Godwin |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 19 Years |
Location | 250 Main St., Cadiz, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538257910 | NPI | - | NPPES |
1538257910 | Other | KY | INDIVIDUAL NPI |
41486 | Other | KY | KY LICENSE |
1096567 | Other | USA MANAGED CARE ORGANIZATION | |
7100013780 | Medicaid | KY | |
1881852317 | Other | KY | GROUP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 41486 (Kentucky) | Secondary |
207Q00000X | Family Medicine | 41486 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Suncrest Home Health | Cadiz, KY | Home health agency |
Jennie Stuart Medical Center | Hopkinsville, KY | Hospital |
Trigg County Hospital | Cadiz, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jennie Stuart Medical Center Inc | 4183607252 | 101 |
Entity Name | Trigg County Hospital, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538218680 PECOS PAC ID: 5193620805 Enrollment ID: O20031205000118 |
Entity Name | Jennie Stuart Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235139312 PECOS PAC ID: 4183607252 Enrollment ID: O20040609001506 |
Entity Name | App Of Kentucky Ed, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497157341 PECOS PAC ID: 0749502862 Enrollment ID: O20141201000389 |
Entity Name | Fep Of Kentucky Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770266553 PECOS PAC ID: 8123473626 Enrollment ID: O20231018000380 |
Mailing Address | Practice Location Address |
---|---|
Shea A Godwin, MD 250 Main St., Suite E, Cadiz, KY 42211 Ph: (270) 522-6963 | Shea A Godwin, MD 250 Main St., Suite E, Cadiz, KY 42211 Ph: (270) 522-6963 |