Jennifer Ross Goodwin, PNP-PC - Medicare Nurse Practitioner in Hattiesburg, MS

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Jennifer Ross Goodwin, PNP-PC is a medicare enrolled "Nurse Practitioner" in Hattiesburg, Mississippi. Her current practice location is 102 Medical Park, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 261-5159.

Jennifer Ross Goodwin is licensed to practice in Mississippi (license number 864754) 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 1083246474.

Contact Information

Jennifer Ross Goodwin, PNP-PC
102 Medical Park,
Hattiesburg, MS 39401-9080
(601) 261-5159
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Ross Goodwin
GenderFemale
SpecialityNurse Practitioner
Location102 Medical Park, Hattiesburg, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083246474
  • Provider Enumeration Date: 02/04/2020
  • Last Update Date: 03/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1355733924
  • Enrollment ID: I20220112001446

Medical Identifiers

Medical identifiers for Jennifer Ross Goodwin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083246474NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 865754 (Mississippi)Secondary
363L00000XNurse Practitioner 864754 (Mississippi)Primary
163W00000XRegistered Nurse 865754 (Mississippi)Secondary

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. Jennifer Ross Goodwin allows following entities to bill medicare on her behalf.
Entity NameSoutheast Mississippi Rural Health Initiative, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184694036
PECOS PAC ID: 2466342605
Enrollment ID: O20040319000300

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. Jennifer Ross Goodwin 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
Jennifer Ross Goodwin, PNP-PC
415 S 28th Ave,
Hattiesburg, MS 39401-7246

Ph: (601) 261-5159		Jennifer Ross Goodwin, PNP-PC
102 Medical Park,
Hattiesburg, MS 39401-9080

Ph: (601) 261-5159

Reviews and Comments


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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.