Stacy Goodwyne, is a
Registered Nurse based in Hallettsville, Texas. Stacy Goodwyne is licensed to practice in Texas (license number 970858) and her current practice location is
1618 Cr 211, Hallettsville, Texas. She can be reached at her office (for appointments etc.) via phone at
(979) 562-2735.
NPI number for Stacy Goodwyne is 1508456625 and her current mailing address is 1155 Dairy Ashford Rd, Houston, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508456625.
Provider's Profile
Full Name | Stacy Goodwyne |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 1618 Cr 211, Hallettsville, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508456625
- Provider Enumeration Date: 01/22/2021
- Last Update Date: 01/22/2021
Medical Identifiers
Medical identifiers for Stacy Goodwyne such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508456625 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 970858 (Texas) | 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. Stacy Goodwyne is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stacy Goodwyne, 1155 Dairy Ashford Rd, Houston, TX 77079-3021 Ph: (713) 799-2200 | Stacy Goodwyne, 1618 Cr 211, Hallettsville, TX 77964 Ph: (979) 562-2735 |
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