Krystal Goudreau, RN in Manistique, MI - Medicare Nurse Practitioner

Krystal Goudreau, RN is a medicare enrolled "Nurse Practitioner - Family" in Manistique, Michigan. Her current practice location is 113 N Lake St, Manistique, Michigan. You can reach out to her office (for appointments etc.) via phone at (906) 450-1700.

Krystal Goudreau is licensed to practice in Michigan (license number 4704260602) 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 1609301829.

Contact Information

	Krystal Goudreau, RN
	113 N Lake St, Manistique, MI 49854-1234
	(906) 450-1700
	Not Available

Map and Direction

Provider's Profile

Full Name	Krystal Goudreau
Gender	Female
Speciality	Nurse Practitioner - Family
Location	113 N Lake St, Manistique, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609301829
Provider Enumeration Date: 04/25/2017
Last Update Date: 08/09/2023

Medicare PECOS Information:

PECOS PAC ID: 6901346816
Enrollment ID: I20240906000299

Medical Identifiers

Medical identifiers for Krystal Goudreau such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609301829	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	4704260602 (Michigan)	Secondary
363LF0000X	Nurse Practitioner - Family	4704260602 (Michigan)	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. Krystal Goudreau allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855

Entity Name	Longevity Accountable Care, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396584447 PECOS PAC ID: 0840734034 Enrollment ID: O20240628001324

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. Krystal Goudreau 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
Krystal Goudreau, RN 113 N Lake St, Manistique, MI 49854-1234 Ph: (906) 450-1700	Krystal Goudreau, RN 113 N Lake St, Manistique, MI 49854-1234 Ph: (906) 450-1700

Reviews and Comments

Nurse Practitioner Nurses in Manistique, MI

Sarah Bess Unger, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7870w Us Highway 2, Manistique, MI 49854 Phone: 906-341-3200
Jennifer Lynn Casey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7870w Us Highway 2, Manistique, MI 49854 Phone: 906-341-3200
Dennis Duane Smith, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7870w Us Highway 2, Manistique, MI 49854 Phone: 906-341-2153
Kathleen Andie Bradshaw, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7870 W Us-2, Manistique, MI 49854 Phone: 906-341-3200
Shalee Sun Lang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7870w Us Highway 2, Manistique, MI 49854 Phone: 906-341-0320
Gabrielle Flatt, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7870w Us Highway 2, Manistique, MI 49854 Phone: 906-341-3200
Janet Pratt, FNP-C, PMHNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 N Lake St, Manistique, MI 49854 Phone: 906-341-2144 Fax: 906-341-5793

Krystal Goudreau, RN - Medicare Nurse Practitioner in Manistique, MI