Sally H Goodin, NP in Indianapolis, IN - Medicare Nurse Practitioner

Sally H Goodin, NP is a medicare enrolled "Nurse Practitioner - Family" in Indianapolis, Indiana. Her current practice location is 714 N Senate Ave Ste 100, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 944-4831.

Sally H Goodin is licensed to practice in Indiana (license number 71014990A) 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 1447016589.

Contact Information

	Sally H Goodin, NP
	714 N Senate Ave Ste 100, Indianapolis, IN 46202-3297
	(317) 944-4831
	Not Available

Map and Direction

Provider's Profile

Full Name	Sally H Goodin
Gender	Female
Speciality	Nurse Practitioner - Family
Location	714 N Senate Ave Ste 100, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447016589
Provider Enumeration Date: 02/26/2024
Last Update Date: 04/16/2024

Medicare PECOS Information:

PECOS PAC ID: 8123467305
Enrollment ID: I20240420000163

Medical Identifiers

Medical identifiers for Sally H Goodin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447016589	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71014990A (Indiana)	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. Sally H Goodin allows following entities to bill medicare on her behalf.

Entity Name	Indiana University Radiology Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336192665 PECOS PAC ID: 7315922267 Enrollment ID: O20040623001054

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. Sally H Goodin 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
Sally H Goodin, NP 7992 Cobblesprings Dr, Avon, IN 46123-8786 Ph: (317) 294-5646	Sally H Goodin, NP 714 N Senate Ave Ste 100, Indianapolis, IN 46202-3297 Ph: (317) 944-4831

Reviews and Comments

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Sally H Goodin, NP - Medicare Nurse Practitioner in Indianapolis, IN