Dr Amy Nicole Goodwine, AUD is a medicare enrolled "Audiologist" provider in Dumfries, Virginia. Her current practice location is
3986 Fettler Park Dr, Dumfries, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 221-8307.
Dr Amy Nicole Goodwine is licensed to practice in Virginia (license number 2201000658) 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 1285698308.
Healthcare Provider's Profile
| Full Name | Dr Amy Nicole Goodwine |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 3986 Fettler Park Dr, Dumfries, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285698308
- Provider Enumeration Date: 04/14/2006
- Last Update Date: 11/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 8729031448
- Enrollment ID: I20150603001826
Medical Identifiers
Medical identifiers for Dr Amy Nicole Goodwine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285698308 | NPI | - | NPPES |
| 010244919 | Medicaid | VA | |
| 392788YGFF | Other | VA | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 2201000658 (Virginia) | Primary |
| 237600000X | Audiologist-hearing Aid Fitter | 2101001172 (Virginia) | 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. Dr Amy Nicole Goodwine allows following entities to bill medicare on her behalf.
| Provider Name | Calmay Audiology Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1699241810
PECOS PAC ID: 8022487255
Enrollment ID: O20221212000343 |
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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. Dr Amy Nicole Goodwine 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 |
|---|
Dr Amy Nicole Goodwine, AUD
3986 Fettler Park Dr,
Dumfries, VA 22025-1997
Ph: (703) 221-8307 | Dr Amy Nicole Goodwine, AUD
3986 Fettler Park Dr,
Dumfries, VA 22025-1997
Ph: (703) 221-8307 |
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