| Lisa Ann Goodman, CRNP | |
|
470 Taylor Rd, Suite 202, Montgomery, AL 36117-3563 | |
| (334) 244-6773 | |
| (334) 244-4234 |
| Full Name | Lisa Ann Goodman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 470 Taylor Rd, Montgomery, Alabama |
| 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 |
|---|---|---|---|
| 1952712374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WG0000X | Registered Nurse - General Practice | 1-066578 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Russell Medical Center | Alexander city, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Russell Hospital Corporation | 6406754431 | 52 |
| Entity Name | The Russell Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417252537 PECOS PAC ID: 6406754431 Enrollment ID: O20110307000502 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20140219000913 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Ann Goodman, CRNP 301 Brown Springs Rd, Montgomery, AL 36117-7005 Ph: (334) 273-4508 | Lisa Ann Goodman, CRNP 470 Taylor Rd, Suite 202, Montgomery, AL 36117-3563 Ph: (334) 244-6773 |
Sandy Revens, RN, BSN, B-C Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2637 Eastern Blvd, Montgomery, AL 36117 Phone: 334-409-9090 Fax: 334-409-9669 | |
Ashley Harris, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1720 W 3rd St, Montgomery, AL 36106 Phone: 334-649-2966 | |
Kimberly Ann Hindi, CRNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1801 Pine St, Ste 302, Montgomery, AL 36106 Phone: 334-264-7842 | |
John White, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 Interstate Park Dr Ste 100, Montgomery, AL 36109 Phone: 334-356-3911 | |
David Graham, RN, MSN, NP-C Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 4367 Atlanta Hwy Ste C, Montgomery, AL 36109 Phone: 334-785-2200 Fax: 334-323-7148 | |
Earnestine Alexander, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3477 Cross Creek Dr, Montgomery, AL 36116 Phone: 334-462-8931 Fax: 334-281-9052 | |
Ms. Mary Elizabeth Owen, RN,IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1725 Pine St, Jackson Hospital (4 West-lactation Office), Montgomery, AL 36106 Phone: 334-293-8000 |