Charlotte Whitehurst Goodwyn, FNP - Medicare Nurse Practitioner in Farmville, NC

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Charlotte Whitehurst Goodwyn, FNP is a medicare enrolled "Nurse Practitioner" in Farmville, North Carolina. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Farmville Internal Medicine Pa and her current practice location is 3485 N. Main Street, Farmville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 753-3193.

Charlotte Whitehurst Goodwyn is licensed to practice in North Carolina (license number 5005885) 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 1104170166.

Contact Information

Charlotte Whitehurst Goodwyn, FNP
3485 N. Main Street,
Farmville, NC 27858
(252) 753-3193
Not Available

Map and Direction




Provider's Profile

Full NameCharlotte Whitehurst Goodwyn
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location3485 N. Main Street, Farmville, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charlotte Whitehurst Goodwyn graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1104170166
  • Provider Enumeration Date: 10/30/2012
  • Last Update Date: 11/01/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8729231931
  • Enrollment ID: I20130118000325

Medical Identifiers

Medical identifiers for Charlotte Whitehurst Goodwyn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104170166NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 5005885 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Farmville Internal Medicine Pa83250375753

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. Charlotte Whitehurst Goodwyn allows following entities to bill medicare on her behalf.
Entity NameFarmville Internal Medicine Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710942610
PECOS PAC ID: 8325037575
Enrollment ID: O20040511001545

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. Charlotte Whitehurst Goodwyn 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 AddressPractice Location Address
Charlotte Whitehurst Goodwyn, FNP
706 Ferncliff Ln,
Tarboro, NC 27886-5629

Ph: (252) 883-7416		Charlotte Whitehurst Goodwyn, FNP
3485 N. Main Street,
Farmville, NC 27858

Ph: (252) 753-3193

Reviews and Comments


Nurse Practitioner Nurses in Farmville, NC

Whitney Elvis, AGNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3681 N Main St, Farmville, NC 27828
Phone: 252-753-7141    Fax: 252-753-5834
Haley Dickerson Upchurch,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3485 N Main St, Farmville, NC 27828
Phone: 252-753-3193    
Jody Lynn Holtz, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3681 N Main St, Farmville, NC 27828
Phone: 252-753-7141    Fax: 252-753-5834

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.