| Shea A Godwin, MD | |
|
250 Main St., Suite E, Cadiz, KY 42211 | |
| (270) 522-6963 | |
| (270) 522-7231 |
| Full Name | Shea A Godwin |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 21 Years |
| Location | 250 Main St., Cadiz, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538257910 | NPI | - | NPPES |
| 1538257910 | Other | KY | INDIVIDUAL NPI |
| 41486 | Other | KY | KY LICENSE |
| 1096567 | Other | USA MANAGED CARE ORGANIZATION | |
| 7100013780 | Medicaid | KY | |
| 1881852317 | Other | KY | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 41486 (Kentucky) | Secondary |
| 207Q00000X | Family Medicine | 41486 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lifeline Home Health Of Western Ky | Hopkinsville, KY | Home health agency |
| Jennie Stuart Medical Center | Hopkinsville, KY | Hospital |
| Trigg County Hospital | Cadiz, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jennie Stuart Medical Center Inc | 4183607252 | 103 |
| Entity Name | Trigg County Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538218680 PECOS PAC ID: 5193620805 Enrollment ID: O20031205000118 |
| Entity Name | Jennie Stuart Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235139312 PECOS PAC ID: 4183607252 Enrollment ID: O20040609001506 |
| Entity Name | App Of Kentucky Ed, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497157341 PECOS PAC ID: 0749502862 Enrollment ID: O20141201000389 |
| Entity Name | Fep Of Kentucky Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770266553 PECOS PAC ID: 8123473626 Enrollment ID: O20231018000380 |
| Mailing Address | Practice Location Address |
|---|---|
| Shea A Godwin, MD 250 Main St., Suite E, Cadiz, KY 42211 Ph: (270) 522-6963 | Shea A Godwin, MD 250 Main St., Suite E, Cadiz, KY 42211 Ph: (270) 522-6963 |