Kelsey Goodman, RN in Boston, MA - Medicare Registered Nurse

Kelsey Goodman, RN is a medicare enrolled "Registered Nurse" in Boston, Massachusetts. Her current practice location is 800 Washington St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 636-5000.

Kelsey Goodman is licensed to practice in Massachusetts (license number RN2286367) 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 1346913175.

Contact Information

	Kelsey Goodman, RN
	800 Washington St, Boston, MA 02111-1552
	(617) 636-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelsey Goodman
Gender	Female
Speciality	Registered Nurse
Location	800 Washington St, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346913175
Provider Enumeration Date: 07/28/2021
Last Update Date: 07/28/2021

Medicare PECOS Information:

PECOS PAC ID: 8022463264
Enrollment ID: I20231009001865

Medical Identifiers

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

Identifier	Type	State	Issuer
1346913175	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN2286367 (Massachusetts)	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. Kelsey Goodman allows following entities to bill medicare on her behalf.

Entity Name	Pratt Anesthesiology Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326085390 PECOS PAC ID: 0547151151 Enrollment ID: O20040323001056

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. Kelsey 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
Kelsey Goodman, RN 170 W 3rd St Apt 1, Boston, MA 02127-1212 Ph: (973) 303-5331	Kelsey Goodman, RN 800 Washington St, Boston, MA 02111-1552 Ph: (617) 636-5000

Reviews and Comments

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Kelsey Goodman, RN - Medicare Registered Nurse in Boston, MA