| Jennifer Goodin, APRN CNP | |
|
75 Sylvania Dr, Dayton, OH 45440-3237 | |
| (937) 320-5050 | |
| Not Available |
| Full Name | Jennifer Goodin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 75 Sylvania Dr, Dayton, Ohio |
| 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 |
|---|---|---|---|
| 1215687199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN.CNP.0030876 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0030876 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kettering Homecare | Kettering, OH | Home health agency |
| Miami Valley Hospital | Dayton, OH | Hospital |
| Grandview And Southview Hospitals | Dayton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Group | 2860386349 | 28 |
| Dayton Gastroenterology, Llc | 9537064407 | 81 |
| Entity Name | Dayton Gastroenterology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134345705 PECOS PAC ID: 9537064407 Enrollment ID: O20031204000041 |
| Entity Name | Providence Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972533149 PECOS PAC ID: 2860386349 Enrollment ID: O20040215000006 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Goodin, APRN CNP One Gi Credentialing Department, Po Box 381468, Germantown, TN 38183-1468 Ph: () - | Jennifer Goodin, APRN CNP 75 Sylvania Dr, Dayton, OH 45440-3237 Ph: (937) 320-5050 |
David Lee Evers, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 122 Wyoming St, Dayton, OH 45409 Phone: 937-223-4461 Fax: 937-449-7603 | |
Kimberly Kay Myers, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 W Elmwood Dr, Suite 1000, Dayton, OH 45459 Phone: 937-224-8200 Fax: 937-224-1770 | |
Joni Abramczyk, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 Yankee Park Pl, Dayton, OH 45458 Phone: 937-439-4949 | |
Angela Marie Thompson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7677 Yankee St Ste 110, Dayton, OH 45459 Phone: 800-824-9861 | |
Chasity Rene Lemons, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4160 Little York Rd Ste 20, Dayton, OH 45414 Phone: 937-454-9527 | |
Rosanne Cecilia Jones, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-4000 Fax: 937-641-4500 | |
Kimberly Wade Young, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8120 Garnet Dr, Dayton, OH 45458 Phone: 833-510-4357 |