Tiffany Marie Goodman, AGPCNP-BC in Indianapolis, IN

Tiffany Marie Goodman, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Primary Care" in Indianapolis, Indiana. Her current practice location is 10730 Hunter Lake Ln, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 531-1783.

Tiffany Marie Goodman is licensed to practice in Indiana (license number 2022030116) 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 1265169676.

Contact Information

	Tiffany Marie Goodman, AGPCNP-BC
	10730 Hunter Lake Ln, Indianapolis, IN 46239-8986
	(317) 531-1783
	Not Available

Map and Direction

Provider's Profile

Full Name	Tiffany Marie Goodman
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	10730 Hunter Lake Ln, 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: 1265169676
Provider Enumeration Date: 08/05/2022
Last Update Date: 08/05/2022

Medicare PECOS Information:

PECOS PAC ID: 3476929134
Enrollment ID: I20221020001423

Medical Identifiers

Medical identifiers for Tiffany Marie Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265169676	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	2022030116 (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. Tiffany Marie Goodman allows following entities to bill medicare on her behalf.

Entity Name	Rpinmd Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710643085 PECOS PAC ID: 4183014616 Enrollment ID: O20211124000308

Entity Name	Rp Wound Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427790500 PECOS PAC ID: 0941696181 Enrollment ID: O20220415000307

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. Tiffany Marie 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
Tiffany Marie Goodman, AGPCNP-BC 10730 Hunter Lake Ln, Indianapolis, IN 46239-8986 Ph: (317) 531-1783	Tiffany Marie Goodman, AGPCNP-BC 10730 Hunter Lake Ln, Indianapolis, IN 46239-8986 Ph: (317) 531-1783

Reviews and Comments

Nurse Practitioner Nurses in Indianapolis, IN

Ms. Monica Silvia Oclander, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205 Phone: 317-221-3532 Fax: 317-221-3516
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Mrs. Renee Marie Burkhart, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7825 Mcfarland Ln, Suite A, Indianapolis, IN 46237 Phone: 317-887-5500 Fax: 317-887-4806
Emily Kelly Koffel, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8330 Naab Rd Ste 340, Indianapolis, IN 46260 Phone: 317-338-5100
Mrs. Kelly Lentz, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2732 W Michigan St, Indianapolis, IN 46222 Phone: 317-554-4600 Fax: 317-554-4617

Tiffany Marie Goodman, AGPCNP-BC - Medicare Nurse Practitioner in Indianapolis, IN