| Mary Lisa Goodman, NURSE PRACTITIONER | |
|
1807 Short Branch Dr Ste 102, New Port Richey, FL 34655-4424 | |
| (727) 376-3547 | |
| Not Available |
| Full Name | Mary Lisa Goodman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 1807 Short Branch Dr Ste 102, New Port Richey, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265105803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 11014405 (Florida) | Primary |
| Entity Name | Trinity Family And Sports Medicine Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891991238 PECOS PAC ID: 3971680646 Enrollment ID: O20080404000336 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Lisa Goodman, NURSE PRACTITIONER 4404 W Ballast Point Blvd, Tampa, FL 33611-5602 Ph: (813) 895-4727 | Mary Lisa Goodman, NURSE PRACTITIONER 1807 Short Branch Dr Ste 102, New Port Richey, FL 34655-4424 Ph: (727) 376-3547 |
Billy Shannon Clay, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6804 Cecelia Dr, New Port Richey, FL 34653 Phone: 727-232-0644 Fax: 888-546-0488 | |
Kelli Monnin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6804 Cecelia Dr, New Port Richey, FL 34653 Phone: 855-232-0644 Fax: 888-546-0488 | |
Cathleen A Barrett, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8002 King Helie Blvd, New Port Richey, FL 34653 Phone: 727-841-4200 | |
Desiree R Rupe, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2148 Duck Slough Blvd Ste 102, New Port Richey, FL 34655 Phone: 727-375-1975 | |
Mrs. Carly Nicole Johnson, ARNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6600 Madison St, New Port Richey, FL 34652 Phone: 727-734-6888 | |
Edith Jean, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6804 Cecelia Drive, New Port Richey, FL 34653 Phone: 855-232-0644 Fax: 888-546-0488 | |
Ms. Melissa Hope Arnett, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9912 Little Rd, New Port Richey, FL 34654 Phone: 727-869-4100 Fax: 727-869-4193 |