Kelly A Goodman, NP in Bethesda, MD - Medicare Nurse Practitioner

Kelly A Goodman, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Bethesda, Maryland. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kelly Goodman, Np And Associates Pc and her current practice location is 4701 Sangamore Road, Suite 5207, Bethesda, Maryland. You can reach out to her office (for appointments etc.) via phone at (202) 684-7167.

Kelly A Goodman is licensed to practice in Maryland (license number R156558) 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 1639396914.

Contact Information

	Kelly A Goodman, NP
	4701 Sangamore Road, Suite 5207, Bethesda, MD 20816-2529
	(202) 684-7167
	(240) 483-0441

Map and Direction

Provider's Profile

Full Name	Kelly A Goodman
Gender	Female
Speciality	Nurse Practitioner
Experience	18 Years
Location	4701 Sangamore Road, Bethesda, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly A Goodman graduated from nursing school in 2006

NPI Data:

NPI Number: 1639396914
Provider Enumeration Date: 04/19/2007
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 8921199928
Enrollment ID: I20070806000388

Medical Identifiers

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

Identifier	Type	State	Issuer
1639396914	NPI	-	NPPES
413209200	Medicaid	MD
44330062	Other	DC	CAREFIRST
038745900	Medicaid	DC
1639396914	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	RN966360 (District Of Columbia)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	R156558 (Maryland)	Primary
364SA2200X	Clinical Nurse Specialist - Adult Health	R156558 (Maryland)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Potomac Home Health Care	Rockville, MD	Home health agency
Sibley Memorial Hospital	Washington, DC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kelly Goodman, Np And Associates Pc	0042344988	4

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. Kelly A Goodman allows following entities to bill medicare on her behalf.

Entity Name	Kelly Goodman, Np & Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740503689 PECOS PAC ID: 0042344988 Enrollment ID: O20100814000141

Entity Name	Promenade Primary Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770038887 PECOS PAC ID: 9537454764 Enrollment ID: O20160826000033

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. Kelly A 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
Kelly A Goodman, NP 4701 Sangamore Road, Suite 5207, Bethesda, MD 20816-2529 Ph: (202) 684-7167	Kelly A Goodman, NP 4701 Sangamore Road, Suite 5207, Bethesda, MD 20816-2529 Ph: (202) 684-7167

Reviews and Comments

Nurse Practitioner Nurses in Bethesda, MD

Mr. Michael S Stagliano, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10 Center Dr Bldg 10, Bethesda, MD 20892 Phone: 240-507-0883 Fax: 301-480-5598
Mrs. Dina L Galitz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8600 Old Georgetown Rd, Bethesda, MD 20814 Phone: 301-896-2654
Mr. Hector Erazo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8901 Wisconsin Ave, Bethesda, MD 20889 Phone: 301-295-6400
Eliza Staley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4520 E West Hwy Ste 775, Bethesda, MD 20814 Phone: 667-668-2566
Dr. Margaret Farmar Keil, CRNP, PHD Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: National Institutes Of Health, Nichd, 10 Center Drive, Bldg 10 Room 1 E 3330, Bethesda, MD 20892 Phone: 301-435-3391 Fax: 301-402-1073
Olivia Marie Remsberg, CRNP-FAMILY Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9000 Rockville Pike, Bethesda, MD 20892 Phone: 301-496-4000
Ellen Marie Townley O'gara, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7809 Wisconsin Ave, Minute Clinic, Bethesda, MD 20814 Phone: 301-986-9144

Kelly A Goodman, NP - Medicare Nurse Practitioner in Bethesda, MD