Krystal Goudreau, RN - Medicare Nurse Practitioner in Manistique, MI

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Krystal Goudreau, RN is a medicare enrolled "Nurse Practitioner - Family" in Manistique, Michigan. Her current practice location is 113 N Lake St, Manistique, Michigan. You can reach out to her office (for appointments etc.) via phone at (906) 450-1700.

Krystal Goudreau is licensed to practice in Michigan (license number 4704260602) 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 1609301829.

Contact Information

Krystal Goudreau, RN
113 N Lake St,
Manistique, MI 49854-1234
(906) 450-1700
Not Available

Map and Direction




Provider's Profile

Full NameKrystal Goudreau
GenderFemale
SpecialityNurse Practitioner - Family
Location113 N Lake St, Manistique, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609301829
  • Provider Enumeration Date: 04/25/2017
  • Last Update Date: 08/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6901346816
  • Enrollment ID: I20240906000299

Medical Identifiers

Medical identifiers for Krystal Goudreau such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609301829NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 4704260602 (Michigan)Secondary
363LF0000XNurse Practitioner - Family 4704260602 (Michigan)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. Krystal Goudreau allows following entities to bill medicare on her behalf.
Entity NameTheoria Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20181004002127
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20210405000855
Entity NameLongevity Accountable Care, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396584447
PECOS PAC ID: 0840734034
Enrollment ID: O20240628001324
Entity NameTotal Extended Care Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699522029
PECOS PAC ID: 9133029127
Enrollment ID: O20240712000167

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. Krystal Goudreau 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
Krystal Goudreau, RN
113 N Lake St,
Manistique, MI 49854-1234

Ph: (906) 450-1700		Krystal Goudreau, RN
113 N Lake St,
Manistique, MI 49854-1234

Ph: (906) 450-1700

Reviews and Comments


Nurse Practitioner Nurses in Manistique, MI

Sarah Bess Unger,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7870w Us Highway 2, Manistique, MI 49854
Phone: 906-341-3200    
Jennifer Lynn Casey, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7870w Us Highway 2, Manistique, MI 49854
Phone: 906-341-3200    
Dennis Duane Smith, FNP-BC
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Practice Location: 7870w Us Highway 2, Manistique, MI 49854
Phone: 906-341-2153    
Kathleen Andie Bradshaw, FNP
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Practice Location: 7870 W Us-2, Manistique, MI 49854
Phone: 906-341-3200    
Shalee Sun Lang, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7870w Us Highway 2, Manistique, MI 49854
Phone: 906-341-0320    
Gabrielle Flatt, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7870w Us Highway 2, Manistique, MI 49854
Phone: 906-341-3200    
Janet Pratt, FNP-C, PMHNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 125 N Lake St, Manistique, MI 49854
Phone: 906-341-2144    Fax: 906-341-5793

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.