Colleen Nicole Goddard, APRN in Russellville, AR

Colleen Nicole Goddard, APRN is a medicare enrolled "Nurse Practitioner - Family" in Russellville, Arkansas. Her current practice location is 1605 W Main St, Russellville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 219-5008.

Colleen Nicole Goddard is licensed to practice in Arkansas (license number 225193) 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 1346928975.

Contact Information

	Colleen Nicole Goddard, APRN
	1605 W Main St, Russellville, AR 72801-2719
	(479) 219-5008
	Not Available

Map and Direction

Provider's Profile

Full Name	Colleen Nicole Goddard
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1605 W Main St, Russellville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346928975
Provider Enumeration Date: 07/05/2023
Last Update Date: 07/05/2023

Medicare PECOS Information:

PECOS PAC ID: 4183079098
Enrollment ID: I20231012003276

Medical Identifiers

Medical identifiers for Colleen Nicole Goddard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346928975	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	225193 (Arkansas)	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. Colleen Nicole Goddard allows following entities to bill medicare on her behalf.

Entity Name	Arkansas Health Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598031882 PECOS PAC ID: 7911802079 Enrollment ID: O20120611000172

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. Colleen Nicole 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 Address	Practice Location Address
Colleen Nicole Goddard, APRN 1605 W Main St, Russellville, AR 72801-2719 Ph: () -	Colleen Nicole Goddard, APRN 1605 W Main St, Russellville, AR 72801-2719 Ph: (479) 219-5008

Reviews and Comments

Nurse Practitioner Nurses in Russellville, AR

Karen Michelle Branch, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2210 W Main St, Russellville, AR 72801 Phone: 479-968-8940 Fax: 479-968-8901
Ashley Mccoy, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 S Portland Ave, Russellville, AR 72801 Phone: 501-906-0000
Mrs. Ashley Nichole Bennett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-968-2841
Kristy Hogan, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 W O St, Dean Hall, Room 126, Russellville, AR 72801 Phone: 479-368-0329
Ms. Candace Darlene Welcher, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-2467
Margaret Danielle Mullins-moats, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3812 W Main St., Russellville, AR 72801 Phone: 479-968-1245
Lindsey Sharp, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-964-2198

Colleen Nicole Goddard, APRN - Medicare Nurse Practitioner in Russellville, AR