Kelly Rae Goodwin, APRN - Medicare Nurse Practitioner in Choctaw, OK

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Kelly Rae Goodwin, APRN is a medicare enrolled "Nurse Practitioner - Primary Care" in Choctaw, Oklahoma. Her current practice location is 14543 Larry St, Choctaw, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 568-9165.

Kelly Rae Goodwin is licensed to practice in Florida (license number AG12180060) 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 1841761798.

Contact Information

Kelly Rae Goodwin, APRN
14543 Larry St,
Choctaw, OK 73020-8569
(405) 568-9165
Not Available

Map and Direction




Provider's Profile

Full NameKelly Rae Goodwin
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location14543 Larry St, Choctaw, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841761798
  • Provider Enumeration Date: 12/17/2018
  • Last Update Date: 03/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9133541709
  • Enrollment ID: I20200629000254

Medical Identifiers

Medical identifiers for Kelly Rae Goodwin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841761798NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care AG12180060 (Florida)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. Kelly Rae Goodwin allows following entities to bill medicare on her behalf.
Entity NameOrmond Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538268677
PECOS PAC ID: 4789728320
Enrollment ID: O20100514000084

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. Kelly Rae 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
Kelly Rae Goodwin, APRN
14543 Larry St,
Choctaw, OK 73020-8569

Ph: (405) 568-9165		Kelly Rae Goodwin, APRN
14543 Larry St,
Choctaw, OK 73020-8569

Ph: (405) 568-9165

Reviews and Comments


Nurse Practitioner Nurses in Choctaw, OK

Kimberly Sue Khan, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 14890 Se 29th St, Ste 106, Choctaw, OK 73020
Phone: 405-281-1027    Fax: 405-281-1006
Sara Botchlet, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 16925 Ne 23rd St Ste 103, Choctaw, OK 73020
Phone: 405-620-0049    Fax: 405-281-5726
Sandra L Cooper, APRN, CNP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 14321 Ne 23rd St, Choctaw, OK 73020
Phone: 405-342-0255    Fax: 405-610-6960
Lindsay M Flaming, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 16925 Ne 23rd St Ste 103, Choctaw, OK 73020
Phone: 405-620-0049    Fax: 405-281-5726
Trisha Elayne Sutterfield,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4801 Cedar Mill Rd, Choctaw, OK 73020
Phone: 405-391-4266    

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.