Carol S Goostree, NP is a medicare enrolled "Nurse Practitioner - Family" in Hendersonvlle, Tennessee. Her current practice location is
102 Hazelwood Dr, Hendersonvlle, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 293-6429.
Carol S Goostree is licensed to practice in Tennessee (license number APN0000020739) 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 1699149914.
Provider's Profile
| Full Name | Carol S Goostree |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 102 Hazelwood Dr, Hendersonvlle, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699149914
- Provider Enumeration Date: 11/24/2015
- Last Update Date: 11/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 6901211317
- Enrollment ID: I20210217001888
Medical Identifiers
Medical identifiers for Carol S Goostree such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699149914 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APN0000020739 (Tennessee) | 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. Carol S Goostree allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191218003345 |
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| Entity Name | Healthfair Plus Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376973461
PECOS PAC ID: 2365668720
Enrollment ID: O20211004002019 |
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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. Carol S Goostree 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 |
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Carol S Goostree, NP
102 Hazelwood Dr,
Hendersonvlle, TN 37075-5331
Ph: (615) 293-6429 | Carol S Goostree, NP
102 Hazelwood Dr,
Hendersonvlle, TN 37075-5331
Ph: (615) 293-6429 |
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