Melissa Goodrich, is a medicare enrolled "Advanced Practice Midwife" in Abilene, Texas. Her current practice location is
2726 Button Willow Pkwy, Abilene, Texas. You can reach out to her office (for appointments etc.) via phone at
(325) 201-5840.
Melissa Goodrich is licensed to practice in Texas (license number AP135731) 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 1245746098.
Provider's Profile
| Full Name | Melissa Goodrich |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 2726 Button Willow Pkwy, Abilene, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245746098
- Provider Enumeration Date: 12/15/2017
- Last Update Date: 12/15/2017
Medicare PECOS Information:
- PECOS PAC ID: 9931534781
- Enrollment ID: I20200124000403
Medical Identifiers
Medical identifiers for Melissa Goodrich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245746098 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | AP135731 (Texas) | 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. Melissa Goodrich allows following entities to bill medicare on her behalf.
| Entity Name | San Miguel Clinic Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114920717
PECOS PAC ID: 1254226079
Enrollment ID: O20040219000384 |
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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. Melissa Goodrich 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 |
|---|
Melissa Goodrich,
2726 Button Willow Pkwy,
Abilene, TX 79606-3516
Ph: (325) 201-5840 | Melissa Goodrich,
2726 Button Willow Pkwy,
Abilene, TX 79606-3516
Ph: (325) 201-5840 |
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