Jonathan Perry Goodwin, APRN - Medicare Nurse Practitioner in Broken Arrow, OK

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Jonathan Perry Goodwin, APRN is a medicare enrolled "Nurse Practitioner - Family" in Broken Arrow, Oklahoma. He graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Allergy Clinic Of Tulsa Inc and his current practice location is 3004 N 2nd St, Broken Arrow, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 713-1320.

Jonathan Perry Goodwin is licensed to practice in Oklahoma (license number 201903) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336738293.

Contact Information

Jonathan Perry Goodwin, APRN
3004 N 2nd St,
Broken Arrow, OK 74012-8231
(918) 713-1320
Not Available

Map and Direction




Provider's Profile

Full NameJonathan Perry Goodwin
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location3004 N 2nd St, Broken Arrow, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jonathan Perry Goodwin graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1336738293
  • Provider Enumeration Date: 01/14/2021
  • Last Update Date: 11/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4385041367
  • Enrollment ID: I20210917000140

Medical Identifiers

Medical identifiers for Jonathan Perry Goodwin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336738293NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 201903 (Oklahoma)Primary
163WG0000XRegistered Nurse - General Practice R0129507 (Oklahoma)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allergy Clinic Of Tulsa Inc731592583112

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. Jonathan Perry Goodwin allows following entities to bill medicare on his behalf.
Entity NameAllergy Clinic Of Tulsa Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538270954
PECOS PAC ID: 7315925831
Enrollment ID: O20040712000384

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. Jonathan Perry 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
Jonathan Perry Goodwin, APRN
3004 N 2nd St,
Broken Arrow, OK 74012-8231

Ph: (918) 713-1320		Jonathan Perry Goodwin, APRN
3004 N 2nd St,
Broken Arrow, OK 74012-8231

Ph: (918) 713-1320

Reviews and Comments


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Ms. Kyndal Renee' Stevens, APRN-CNP
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Phone: 918-455-0414    
Ms. Mary Constance Starr, ARNP
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Ms. Jamie Larie Kitchens, DNP, APRN, CNP
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Practice Location: 2617 S Elm Pl, Broken Arrow, OK 74012
Phone: 918-455-4541    Fax: 918-455-0414

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.