Miss Yvette Loretta Goodridge, NP is a medicare enrolled "General Acute Care Hospital - Critical Access" in Los Angeles, California. Her current practice location is
4650 W Sunset Blvd, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(323) 660-2450.
Miss Yvette Loretta Goodridge is licensed to practice in California (license number 20859) 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 1316346075.
Provider's Profile
Full Name | Miss Yvette Loretta Goodridge |
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Gender | Female |
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Speciality | General Acute Care Hospital - Critical Access |
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Location | 4650 W Sunset Blvd, Los Angeles, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316346075
- Provider Enumeration Date: 08/19/2014
- Last Update Date: 01/17/2017
Medicare PECOS Information:
- PECOS PAC ID: 2264757228
- Enrollment ID: I20240323000337
Medical Identifiers
Medical identifiers for Miss Yvette Loretta Goodridge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316346075 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0200X | Nurse Practitioner - Pediatrics | RN/NP 233723 (Massachusetts) | Secondary |
282NC0060X | General Acute Care Hospital - Critical Access | 20859 (California) | 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. Miss Yvette Loretta Goodridge allows following entities to bill medicare on her behalf.
Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
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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. Miss Yvette Loretta Goodridge 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 |
Miss Yvette Loretta Goodridge, NP 417 S Hill St, Apt 512, Los Angeles, CA 90013-1269 Ph: () - | Miss Yvette Loretta Goodridge, NP 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 Ph: (323) 660-2450 |
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