Jesse Goodman, AGNP in Irvine, CA - Medicare Nurse Practitioner

Jesse Goodman, AGNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Irvine, California. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Jason Kellogg Md Inc and his current practice location is 17782 Cowan Ste A, Irvine, California. You can reach out to his office (for appointments etc.) via phone at (949) 722-7118.

Jesse Goodman is licensed to practice in California (license number 95003286) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609248202.

Contact Information

	Jesse Goodman, AGNP
	17782 Cowan Ste A, Irvine, CA 92614-6041
	(949) 722-7118
	Not Available

Map and Direction

Provider's Profile

Full Name	Jesse Goodman
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	17782 Cowan Ste A, Irvine, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jesse Goodman graduated from nursing school in 2015

NPI Data:

NPI Number: 1609248202
Provider Enumeration Date: 10/22/2015
Last Update Date: 05/06/2020

Medicare PECOS Information:

PECOS PAC ID: 9133557697
Enrollment ID: I20200316001086

Medical Identifiers

Medical identifiers for Jesse Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609248202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95003286 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jason Kellogg Md Inc	9032266127	12

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. Jesse Goodman allows following entities to bill medicare on his behalf.

Entity Name	Jason Kellogg Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235391624 PECOS PAC ID: 9032266127 Enrollment ID: O20090407000131

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. Jesse Goodman 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
Jesse Goodman, AGNP 28411 Pueblo Dr, Trabuco Canyon, CA 92679-1157 Ph: (801) 425-2831	Jesse Goodman, AGNP 17782 Cowan Ste A, Irvine, CA 92614-6041 Ph: (949) 722-7118

Reviews and Comments

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Kelly Eguchi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17782 Cowan Ste A, Irvine, CA 92614 Phone: 949-722-7118
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Jesse Goodman, AGNP - Medicare Nurse Practitioner in Irvine, CA