Annette Michelle Goodwin, FNP in Winston Salem, NC

Annette Michelle Goodwin, FNP is a medicare enrolled "Nurse Practitioner" in Winston Salem, North Carolina. Her current practice location is 105 Hanes Square Cir, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 441-5569.

Annette Michelle Goodwin is licensed to practice in North Carolina (license number 5017618) 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 1326754508.

Contact Information

	Annette Michelle Goodwin, FNP
	105 Hanes Square Cir, Winston Salem, NC 27103-5514
	(336) 441-5569
	(336) 771-1907

Map and Direction

Provider's Profile

Full Name	Annette Michelle Goodwin
Gender	Female
Speciality	Nurse Practitioner
Location	105 Hanes Square Cir, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326754508
Provider Enumeration Date: 01/30/2023
Last Update Date: 05/03/2023

Medicare PECOS Information:

PECOS PAC ID: 8325413107
Enrollment ID: I20230410000316

Medical Identifiers

Medical identifiers for Annette Michelle Goodwin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326754508	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	139701 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	GOOD-EMVCE (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5017618 (North Carolina)	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. Annette Michelle Goodwin allows following entities to bill medicare on her behalf.

Entity Name	Carolina Medicorp Enterprises Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760950646 PECOS PAC ID: 0648174904 Enrollment ID: O20040110000190

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. Annette Michelle Goodwin 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
Annette Michelle Goodwin, FNP Po Box 601843, Charlotte, NC 28260-1843 Ph: () -	Annette Michelle Goodwin, FNP 105 Hanes Square Cir, Winston Salem, NC 27103-5514 Ph: (336) 441-5569

Reviews and Comments

Nurse Practitioner Nurses in Winston Salem, NC

Kaila Haskins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Cora Robbins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 Frontis Plaza Blvd Ste 100, Winston Salem, NC 27103 Phone: 336-718-6199 Fax: 336-718-6190
Mrs. Joy Lianne Justice, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Lillykutty Abraham Modoor, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Highland Ave Ste 100, Winston Salem, NC 27101 Phone: 336-607-8523 Fax: 336-773-0916
Dr. Marie Huffmaster Thomas, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-5000
Jennifer Adams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2878
Deborah Krist Potticary, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7041 Fax: 336-718-9622

Annette Michelle Goodwin, FNP - Medicare Nurse Practitioner in Winston Salem, NC