Mrs Nina Bleue Goodwin, FNP in Mckinleyville, CA

Mrs Nina Bleue Goodwin, FNP is a medicare enrolled "Nurse Practitioner" in Mckinleyville, California. Her current practice location is 1644 Central Ave, Mckinleyville, California. You can reach out to her office (for appointments etc.) via phone at (707) 839-3068.

Mrs Nina Bleue Goodwin is licensed to practice in California (license number 12710) 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 1306841259.

Contact Information

	Mrs Nina Bleue Goodwin, FNP
	1644 Central Ave, Mckinleyville, CA 95519-4342
	(707) 839-3068
	(707) 839-3827

Map and Direction

Provider's Profile

Full Name	Mrs Nina Bleue Goodwin
Gender	Female
Speciality	Nurse Practitioner
Location	1644 Central Ave, Mckinleyville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306841259
Provider Enumeration Date: 06/16/2005
Last Update Date: 04/26/2018

Medicare PECOS Information:

PECOS PAC ID: 5193881696
Enrollment ID: I20090309000360

Medical Identifiers

Medical identifiers for Mrs Nina Bleue Goodwin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306841259	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	12710 (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. Mrs Nina Bleue Goodwin allows following entities to bill medicare on her behalf.

Entity Name	Open Door Community Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497840656 PECOS PAC ID: 9436067485 Enrollment ID: O20040414000890

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 Nina Bleue Goodwin 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 Nina Bleue Goodwin, FNP 670 9th St Ste 203, Arcata, CA 95521-6249 Ph: (707) 826-8633	Mrs Nina Bleue Goodwin, FNP 1644 Central Ave, Mckinleyville, CA 95519-4342 Ph: (707) 839-3068

Reviews and Comments

Nurse Practitioner Nurses in Mckinleyville, CA

Kendra Kay Hackney, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1644 Central Ave, Mckinleyville, CA 95519 Phone: 707-839-3068 Fax: 707-839-3827
Reilley Mullin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 Phone: 707-839-3068 Fax: 707-839-3827
Mrs. Chantal Madeleine Lobue, FNP/PAC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1735 Central Ave, Mckinleyville, CA 95519 Phone: 707-839-4349 Fax: 707-839-4124
Laura Lynn Lyons, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1644 Central Ave, Mckinleyville, CA 95519 Phone: 707-839-3068 Fax: 707-839-3827
Ms. Margaret Jean Mahon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2449 Bolier Ave, Mckinleyville, CA 95519 Phone: 707-633-6384
Shoua Lor, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1644 Central Ave, Mckinleyville, CA 95519 Phone: 707-839-3068

Mrs Nina Bleue Goodwin, FNP - Medicare Nurse Practitioner in Mckinleyville, CA