Mrs Jessica Smith Goodman, FNP-C is a medicare enrolled "Nurse Practitioner" in Granite Quarry, North Carolina. Her current practice location is
111 S Salisbury Gq Ave, Granite Quarry, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 279-1679.
Mrs Jessica Smith Goodman is licensed to practice in North Carolina (license number F06201620) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225630080.
Provider's Profile
Full Name | Mrs Jessica Smith Goodman |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 111 S Salisbury Gq Ave, Granite Quarry, North Carolina |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Jessica Smith Goodman attended and graduated from in
NPI Data:
- NPI Number: 1225630080
- Provider Enumeration Date: 11/16/2020
- Last Update Date: 11/02/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Jessica Smith Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225630080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | F06201620 (North Carolina) | 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. Mrs Jessica Smith 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 Address | Practice Location Address |
Mrs Jessica Smith Goodman, FNP-C Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Mrs Jessica Smith Goodman, FNP-C 111 S Salisbury Gq Ave, Granite Quarry, NC 28146-8150 Ph: (704) 279-1679 |
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