Lisa J Godwin, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Blaine, Tennessee. She graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cherokee Health Systems and her current practice location is
880 Rutledge Pike, Blaine, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 933-4110.
Lisa J Godwin is licensed to practice in Tennessee (license number 24714) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659855435.
Physician's Profile
| Full Name | Lisa J Godwin |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 880 Rutledge Pike, Blaine, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lisa J Godwin graduated from medical school in 2017
NPI Data:
- NPI Number: 1659855435
- Provider Enumeration Date: 09/18/2018
- Last Update Date: 12/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931452224
- Enrollment ID: I20181103000030
Medical Identifiers
Medical identifiers for Lisa J Godwin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659855435 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 24714 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 24714 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cherokee Health Systems | 3577474295 | 102 |
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. Lisa J Godwin allows following entities to bill medicare on her behalf.
| Entity Name | Cherokee Health Systems |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134128820
PECOS PAC ID: 3577474295
Enrollment ID: O20031119000769 |
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| Entity Name | Southeastern Physician Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571 |
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| Entity Name | App Of Tennessee Hm, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396160768
PECOS PAC ID: 5395960694
Enrollment ID: O20140630001088 |
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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. Lisa J Godwin 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 |
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Lisa J Godwin, FNP-C
1923 Sulphur Springs Rd,
Morristown, TN 37813-5654
Ph: (423) 317-9344 | Lisa J Godwin, FNP-C
880 Rutledge Pike,
Blaine, TN 37709-2317
Ph: (865) 933-4110 |
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