Ms Jordan Elyse Goodin, in Mexico, MO - Medicare Nurse Practitioner

Ms Jordan Elyse Goodin, is a medicare enrolled "Nurse Practitioner - Family" in Mexico, Missouri. Her current practice location is 340 Kelley Pkwy, Mexico, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 582-1234.

Ms Jordan Elyse Goodin is licensed to practice in Missouri (license number 2024005871) 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 1639949928.

Contact Information

	Ms Jordan Elyse Goodin,
	340 Kelley Pkwy, Mexico, MO 65265-3811
	(573) 582-1234
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Jordan Elyse Goodin
Gender	Female
Speciality	Nurse Practitioner - Family
Location	340 Kelley Pkwy, Mexico, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639949928
Provider Enumeration Date: 01/08/2024
Last Update Date: 02/15/2024

Medicare PECOS Information:

PECOS PAC ID: 0749625382
Enrollment ID: I20240305001898

Medical Identifiers

Medical identifiers for Ms Jordan Elyse Goodin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639949928	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	2018023543 (Missouri)	Secondary
363LF0000X	Nurse Practitioner - Family	2024005871 (Missouri)	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. Ms Jordan Elyse Goodin allows following entities to bill medicare on her behalf.

Entity Name	East Central Missouri Behavioral Health Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144293549 PECOS PAC ID: 5395659403 Enrollment ID: O20031113000501

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. Ms Jordan Elyse 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
Ms Jordan Elyse Goodin, 340 Kelley Pkwy, Mexico, MO 65265-3811 Ph: (573) 582-1234	Ms Jordan Elyse Goodin, 340 Kelley Pkwy, Mexico, MO 65265-3811 Ph: (573) 582-1234

Reviews and Comments

Nurse Practitioner Nurses in Mexico, MO

Catherine Teresa Browning, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212
Ebony Evans, NP-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 734 W Monroe St, Mexico, MO 65265 Phone: 314-853-9439
Regina Marie Hill, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 809 Medical Park Dr Ste 101, Mexico, MO 65265 Phone: 573-581-8590 Fax: 573-473-3794
Mrs. Robin Allen, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-558-1234
Mrs. Brenda Kay Gordon, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212
Andrea Leigh Feger, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Medical Park Dr, Mexico, MO 65265 Phone: 573-581-8500 Fax: 573-581-5397
Mrs. Tammy Doerhoff, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1051 Old Farm Rd E, Mexico, MO 65265 Phone: 573-581-2455 Fax: 573-581-2702

Ms Jordan Elyse Goodin, - Medicare Nurse Practitioner in Mexico, MO