Johnnie N Bradley-goodman, APRN, PMHNP - BC - Medicare Counselor in Macclenny, FL

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Johnnie N Bradley-goodman, APRN, PMHNP - BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Macclenny, Florida. Her current practice location is 84 W Lowder St, Macclenny, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 374-5615.

Johnnie N Bradley-goodman is licensed to practice in Florida (license number APRN9215272) 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 1306322656.

Contact Information

Johnnie N Bradley-goodman, APRN, PMHNP - BC
84 W Lowder St,
Macclenny, FL 32063-2638
(352) 374-5615
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJohnnie N Bradley-goodman
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location84 W Lowder St, Macclenny, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306322656
  • Provider Enumeration Date: 07/18/2018
  • Last Update Date: 06/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0042561078
  • Enrollment ID: I20181001002367

Medical Identifiers

Medical identifiers for Johnnie N Bradley-goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306322656NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health APRN9215272 (Florida)Secondary
363LA2200XNurse Practitioner - Adult Health ARNP9215272 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN9215272 (Florida)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. Johnnie N Bradley-goodman allows following entities to bill medicare on her behalf.
Entity NameMcr Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255376000
PECOS PAC ID: 7214847995
Enrollment ID: O20040126000213
Entity NameUniversity Of Florida Jacksonville Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326208695
PECOS PAC ID: 9133025869
Enrollment ID: O20040204000616
Entity NameUniversity Of Florida Jacksonville Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487814752
PECOS PAC ID: 9133025869
Enrollment ID: O20050414000212
Entity NameMeridian Behavioral Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134287154
PECOS PAC ID: 7517977812
Enrollment ID: O20060502000237
Entity NameMedical Specialists Of Northeast Florida Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285938936
PECOS PAC ID: 4587848163
Enrollment ID: O20110405001104
Entity NameAce Medical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265772370
PECOS PAC ID: 3971745712
Enrollment ID: O20130807000993
Entity NameBalanced Wellbeing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336513639
PECOS PAC ID: 5193021848
Enrollment ID: O20160307002587

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. Johnnie N Bradley-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 AddressPractice Location Address
Johnnie N Bradley-goodman, APRN, PMHNP - BC
4300 Sw 13th St,
Gainesville, FL 32608-4006

Ph: (352) 374-5600		Johnnie N Bradley-goodman, APRN, PMHNP - BC
84 W Lowder St,
Macclenny, FL 32063-2638

Ph: (352) 374-5615

Reviews and Comments


Nurse Practitioner in Macclenny, FL


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.