| Johanna Rennhack Goodwin, PA | |
|
4350 Us 421 S, Lillington, NC 27546-6760 | |
| (910) 893-1210 | |
| Not Available |
| Full Name | Johanna Rennhack Goodwin |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 4350 Us 421 S, Lillington, North Carolina |
| 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 |
|---|---|---|---|
| 1477172740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 3689 (South Carolina) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prisma Health Richland Hospital | Columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prisma Health Medical Group-midlands | 5991099707 | 1040 |
| Entity Name | Prisma Health Medical Group-midlands |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
| Mailing Address | Practice Location Address |
|---|---|
| Johanna Rennhack Goodwin, PA 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: Not Available | Johanna Rennhack Goodwin, PA 4350 Us 421 S, Lillington, NC 27546-6760 Ph: (910) 893-1210 |
Mrs. Jamie Strickland Campbell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 809 S 8th St, Lillington, NC 27546 Phone: 910-808-5888 Fax: 910-984-1005 |
Ms. Dania Mahmoud Farawi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 40 Autumn Fern Trl, Lillington, NC 27546 Phone: 910-364-0970 Fax: 910-814-4062 |
Brandy Norris Mountcastle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 S Main St, Lillington, NC 27546 Phone: 910-514-1152 |
Maggie Jones, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 S 10th St, Lillington, NC 27546 Phone: 910-893-4111 |
Marshall Price, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1870 Keith Hills Rd, Lillington, NC 27546 Phone: 910-891-9490 |
Grace Glass, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4350 Us 421 S, Lillington, NC 27546 Phone: 910-893-1210 |
Anna Finestone Leviere, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4350 Us 421 S, Lillington, NC 27546 Phone: 910-893-1210 |