Timika Shante Goodson, FNP-C, PMHNP-BC - Medicare Nurse Practitioner in Upper Marlboro, MD

Timika Shante Goodson, FNP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Upper Marlboro, Maryland. Her current practice location is 3421 Gentle Breeze Dr # A, Upper Marlboro, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 529-2027.

Timika Shante Goodson is licensed to practice in Maryland (license number R228537) 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 1053910794.

Contact Information

Timika Shante Goodson, FNP-C, PMHNP-BC
3421 Gentle Breeze Dr # A,
Upper Marlboro, MD 20772-2549
(443) 529-2027
(240) 306-9503

Map and Direction




Provider's Profile

Full NameTimika Shante Goodson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location3421 Gentle Breeze Dr # A, Upper Marlboro, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053910794
  • Provider Enumeration Date: 10/23/2020
  • Last Update Date: 01/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9335553064
  • Enrollment ID: I20230418001697

Medical Identifiers

Medical identifiers for Timika Shante Goodson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053910794NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN1055089 (District Of Columbia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN1055089 (District Of Columbia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health R228537 (Maryland)Primary
363LF0000XNurse Practitioner - Family R228537 (Maryland)Secondary
163WC1500XRegistered Nurse - Community Health RN1055089 (District Of Columbia)Secondary
163WH0200XRegistered Nurse - Home Health R228537 (Maryland)Secondary

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. Timika Shante Goodson allows following entities to bill medicare on her behalf.
Entity NameNeighborhood Nurse, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609594704
PECOS PAC ID: 2567837867
Enrollment ID: O20230418001467

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. Timika Shante Goodson 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 AddressPractice Location Address
Timika Shante Goodson, FNP-C, PMHNP-BC
3421 Gentle Breeze Dr,
Upper Marlboro, MD 20772-2549

Ph: (443) 529-2027
Timika Shante Goodson, FNP-C, PMHNP-BC
3421 Gentle Breeze Dr # A,
Upper Marlboro, MD 20772-2549

Ph: (443) 529-2027

Reviews and Comments


Nurse Practitioner Nurses in Upper Marlboro, MD

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Phone: 202-710-6465    
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Aileen Marie Raulin, RN CPNP
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Practice Location: 9692 Pennsylvania Ave, Upper Marlboro, MD 20772
Phone: 301-599-7300    Fax: 301-599-0476

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.