Mr Samir Goodman, NP - Medicare Nurse Practitioner in Williamstown, NJ

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Mr Samir Goodman, NP is a medicare enrolled "Nurse Practitioner - Family" in Williamstown, New Jersey. His current practice location is 4 Corkery Ln, Williamstown, New Jersey. You can reach out to his office (for appointments etc.) via phone at (856) 361-6602.

Mr Samir Goodman is licensed to practice in New Jersey (license number 26NJ01324600) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679204150.

Contact Information

Mr Samir Goodman, NP
4 Corkery Ln,
Williamstown, NJ 08094-8825
(856) 361-6602
Not Available

Map and Direction




Provider's Profile

Full NameMr Samir Goodman
GenderMale
SpecialityNurse Practitioner - Family
Location4 Corkery Ln, Williamstown, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679204150
  • Provider Enumeration Date: 06/23/2022
  • Last Update Date: 06/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7012392681
  • Enrollment ID: I20220917000032

Medical Identifiers

Medical identifiers for Mr Samir Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679204150NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26NJ01324600 (New Jersey)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. Mr Samir Goodman allows following entities to bill medicare on his behalf.
Entity NameCape Emergency Physicians Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104862630
PECOS PAC ID: 3678500998
Enrollment ID: O20050818000710
Entity NameProhealth Urgent Care Medicine Of New Jersey Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477927754
PECOS PAC ID: 6002178647
Enrollment ID: O20180320001992

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 Samir Goodman 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 AddressPractice Location Address
Mr Samir Goodman, NP
4 Corkery Ln,
Williamstown, NJ 08094-8825

Ph: (856) 361-6602		Mr Samir Goodman, NP
4 Corkery Ln,
Williamstown, NJ 08094-8825

Ph: (856) 361-6602

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.