Angela Dawn Goddard, CRNA - Medicare Nurse Anesthetist, Certified Registered in Charlotte, NC

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Angela Dawn Goddard, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Charlotte, North Carolina. Her current practice location is 200 Hawthorne Ln, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 384-4239.

Angela Dawn Goddard is licensed to practice in North Carolina (license number 077460) 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 1952505505.

Contact Information

Angela Dawn Goddard, CRNA
200 Hawthorne Ln,
Charlotte, NC 28204-2515
(704) 384-4239
(704) 384-5636

Map and Direction




Provider's Profile

Full NameAngela Dawn Goddard
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location200 Hawthorne Ln, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952505505
  • Provider Enumeration Date: 06/14/2007
  • Last Update Date: 10/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3072605062
  • Enrollment ID: I20190716003111

Medical Identifiers

Medical identifiers for Angela Dawn Goddard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952505505NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 077460 (North Carolina)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. Angela Dawn Goddard allows following entities to bill medicare on her behalf.
Entity NameMetro Denver Pain Management Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528365863
PECOS PAC ID: 9032388376
Enrollment ID: O20110803000281
Entity NameCrna Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801015284
PECOS PAC ID: 9133365604
Enrollment ID: O20130429000625
Entity NameD M B Anesthesia Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235798000
PECOS PAC ID: 9133450232
Enrollment ID: O20191003000138
Entity NameCrna Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154979342
PECOS PAC ID: 2466784632
Enrollment ID: O20191022000965
Entity NameMountain View Anesthesia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972194207
PECOS PAC ID: 3476960907
Enrollment ID: O20210330002401
Entity NameGoddard Anesthesia Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063255313
PECOS PAC ID: 5890231856
Enrollment ID: O20240725003944

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. Angela Dawn Goddard 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
Angela Dawn Goddard, CRNA
Po Box 601549,
Charlotte, NC 28260-1549

Ph: (704) 384-4274		Angela Dawn Goddard, CRNA
200 Hawthorne Ln,
Charlotte, NC 28204-2515

Ph: (704) 384-4239

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Charlotte, NC

Welo Sylvie Olenga, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204
Phone: 704-384-4239    Fax: 704-384-5636
Alexandru Daniel Vlasin, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-2000    
Mr. Kevin E. West, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-8983    Fax: 704-355-8994
Mrs. Colleen M. Ebner, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-8983    Fax: 704-355-8994
Mrs. Christine E. Jones, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-8983    Fax: 704-355-8994
Meredith L Draper, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-2000    
Alison Anne Woodruff, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-2000    

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.