Renee Marie Goodrich, NURSE PRACTITIONER in Kokomo, IN

Renee Marie Goodrich, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Kokomo, Indiana. Her current practice location is 2240 E Markland Ave, Kokomo, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 780-0102.

Renee Marie Goodrich is licensed to practice in Indiana (license number 71012832A) 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 1124750815.

Contact Information

	Renee Marie Goodrich, NURSE PRACTITIONER
	2240 E Markland Ave, Kokomo, IN 46901-6242
	(574) 780-0102
	Not Available

Map and Direction

Provider's Profile

Full Name	Renee Marie Goodrich
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2240 E Markland Ave, Kokomo, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124750815
Provider Enumeration Date: 06/30/2022
Last Update Date: 01/05/2024

Medicare PECOS Information:

PECOS PAC ID: 6901276104
Enrollment ID: I20230104002705

Medical Identifiers

Medical identifiers for Renee Marie Goodrich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124750815	NPI	-	NPPES
28202615A	Other	IN	REGISTERED NURSE
71012832A	Other	IN	APRN PRESCRIPTIVE AUTHORITY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28202615A (Indiana)	Secondary
261QU0200X	Clinic/center - Urgent Care	(* (Not Available))	Secondary
363LF0000X	Nurse Practitioner - Family	71012832A (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. Renee Marie Goodrich allows following entities to bill medicare on her behalf.

Entity Name	Fast Pace Medical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649770769 PECOS PAC ID: 5395881841 Enrollment ID: O20200827001491

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. Renee Marie Goodrich 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
Renee Marie Goodrich, NURSE PRACTITIONER 811 W Main St, Peru, IN 46970-1742 Ph: (765) 470-4076	Renee Marie Goodrich, NURSE PRACTITIONER 2240 E Markland Ave, Kokomo, IN 46901-6242 Ph: (574) 780-0102

Reviews and Comments

Nurse Practitioner Nurses in Kokomo, IN

Cathy J Simms, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 765-453-8571 Fax: 765-453-8637
Miranda Tedder, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902 Phone: 765-776-8700
Mandy Vires, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 429 W Lincoln Rd, Kokomo, IN 46902 Phone: 317-654-3487
Raymond Candelaria, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902 Phone: 765-776-8700
Mrs. Lisa D Stults, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5900
Angela J Bowman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 Columbus Blvd, Kokomo, IN 46901 Phone: 765-453-1254 Fax: 765-864-8732
Mary Hendrix, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3118 S Lafountain St # At, Kokomo, IN 46902 Phone: 765-864-4160

Renee Marie Goodrich, NURSE PRACTITIONER - Medicare Nurse Practitioner in Kokomo, IN