Mrs Theresa Anne Goodman, APRN, FNP-C in Louisville, KY

Mrs Theresa Anne Goodman, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Louisville, Kentucky. Her current practice location is 1169 Eastern Pkwy, Suite 1111, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 456-4100.

Mrs Theresa Anne Goodman is licensed to practice in Kentucky (license number 3007914) 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 1316379324.

Contact Information

	Mrs Theresa Anne Goodman, APRN, FNP-C
	1169 Eastern Pkwy, Suite 1111, Louisville, KY 40217-1417
	(502) 456-4100
	(502) 459-8454

Map and Direction

Provider's Profile

Full Name	Mrs Theresa Anne Goodman
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1169 Eastern Pkwy, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316379324
Provider Enumeration Date: 07/31/2013
Last Update Date: 12/04/2014

Medicare PECOS Information:

PECOS PAC ID: 2264656149
Enrollment ID: I20140616001449

Medical Identifiers

Medical identifiers for Mrs Theresa Anne Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316379324	NPI	-	NPPES
50073436	Other	KY	PASSPORT
6492184	Other		CIGNA
000000894646	Other	KY	ANTHEM
7100301500	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	1104439 (Kentucky)	Secondary
363LF0000X	Nurse Practitioner - Family	3007914 (Kentucky)	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 Theresa Anne Goodman allows following entities to bill medicare on her behalf.

Entity Name	George C Stege
Entity Type	Practitioner - Family Practice
Entity Identifiers	NPI Number: 1548284425 PECOS PAC ID: 7719954460 Enrollment ID: I20090202000169

Entity Name	Dennis S. Gray, M.d., Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194960682 PECOS PAC ID: 6305900424 Enrollment ID: O20090204000010

Entity Name	George Stege
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083211841 PECOS PAC ID: 7810301520 Enrollment ID: O20210120001966

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 Theresa Anne 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 Theresa Anne Goodman, APRN, FNP-C 1169 Eastern Pkwy, Suite 1111, Louisville, KY 40217-1417 Ph: (502) 456-4100	Mrs Theresa Anne Goodman, APRN, FNP-C 1169 Eastern Pkwy, Suite 1111, Louisville, KY 40217-1417 Ph: (502) 456-4100

Reviews and Comments

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Mrs Theresa Anne Goodman, APRN, FNP-C - Medicare Nurse Practitioner in Louisville, KY