Kelly Goodwin, AGPCNP-C in Westwego, LA - Medicare Nurse Practitioner

Kelly Goodwin, AGPCNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Westwego, Louisiana. Her current practice location is 1070 Westbank Expy, Westwego, Louisiana. You can reach out to her office (for appointments etc.) via phone at (504) 688-2211.

Kelly Goodwin is licensed to practice in Louisiana (license number 221402) 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 1528788403.

Contact Information

	Kelly Goodwin, AGPCNP-C
	1070 Westbank Expy, Westwego, LA 70094-4713
	(504) 688-2211
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Goodwin
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	1070 Westbank Expy, Westwego, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528788403
Provider Enumeration Date: 08/31/2022
Last Update Date: 09/06/2022

Medicare PECOS Information:

PECOS PAC ID: 4587049135
Enrollment ID: I20220916002855

Medical Identifiers

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

Identifier	Type	State	Issuer
1528788403	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	221402 (Louisiana)	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. Kelly Goodwin allows following entities to bill medicare on her behalf.

Entity Name	Pmr La Holding, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700333689 PECOS PAC ID: 7315355062 Enrollment ID: O20210416001427

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 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
Kelly Goodwin, AGPCNP-C 1070 Westbank Expy, Westwego, LA 70094-4713 Ph: (504) 688-2211	Kelly Goodwin, AGPCNP-C 1070 Westbank Expy, Westwego, LA 70094-4713 Ph: (504) 688-2211

Reviews and Comments

Nurse Practitioner Nurses in Westwego, LA

Tamira Leblanc, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1070 Westbank Expy, Westwego, LA 70094 Phone: 504-688-2211
Jeffrey Charles Arnold, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 712 Westbank Expy, Westwego, LA 70094 Phone: 504-340-7744 Fax: 504-348-3935
Ann Onstad, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 4th Street, Westwego, LA 70094 Phone: 504-341-0645 Fax: 504-341-0689
Mrs. Kristina Smith Lacaze, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 712 Westbank Expy, Westwego, LA 70094 Phone: 504-340-7744 Fax: 504-340-7920
Nancy J Bloodworth, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9562 W Keri Ln, Westwego, LA 70094 Phone: 985-210-9241

Kelly Goodwin, AGPCNP-C - Medicare Nurse Practitioner in Westwego, LA