Mr Jeremy Goodrich, RN is a
Registered Nurse - Emergency based in Starke, Florida. Mr Jeremy Goodrich is licensed to practice in Florida (license number RN 9217803) and his current practice location is
4343 Seminole St, Starke, Florida. He can be reached at his office (for appointments etc.) via phone at
(352) 603-4977.
NPI number for Mr Jeremy Goodrich is 1083832984 and his current mailing address is Po Box 1114, Starke, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083832984.
Provider's Profile
| Full Name | Mr Jeremy Goodrich |
|---|
| Gender | Male |
|---|
| Speciality | Registered Nurse - Emergency |
|---|
| Location | 4343 Seminole St, Starke, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1083832984
- Provider Enumeration Date: 04/23/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Jeremy Goodrich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083832984 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WE0003X | Registered Nurse - Emergency | RN 9217803 (Florida) | Primary |
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. Mr Jeremy Goodrich is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jeremy Goodrich, RN
Po Box 1114,
Starke, FL 32091-1114
Ph: (352) 603-4977 | Mr Jeremy Goodrich, RN
4343 Seminole St,
Starke, FL 32091-9748
Ph: (352) 603-4977 |
Reviews and Comments