Lisa J Godwin, FNP-C - Medicare Nurse Practitioner in Blaine, TN

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Lisa J Godwin, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Blaine, Tennessee. Her current practice location is 880 Rutledge Pike, Blaine, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 933-4110.

Lisa J Godwin is licensed to practice in Tennessee (license number 24714) 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 1659855435.

Contact Information

Lisa J Godwin, FNP-C
880 Rutledge Pike,
Blaine, TN 37709-2317
(865) 933-4110
(865) 933-4729

Map and Direction




Provider's Profile

Full NameLisa J Godwin
GenderFemale
SpecialityNurse Practitioner - Family
Location880 Rutledge Pike, Blaine, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659855435
  • Provider Enumeration Date: 09/18/2018
  • Last Update Date: 12/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9931452224
  • Enrollment ID: I20181103000030

Medical Identifiers

Medical identifiers for Lisa J Godwin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659855435NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 24714 (Tennessee)Primary
208M00000XHospitalist 24714 (Tennessee)Secondary

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. Lisa J Godwin allows following entities to bill medicare on her behalf.
Entity NameCherokee Health Systems
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134128820
PECOS PAC ID: 3577474295
Enrollment ID: O20031119000769
Entity NameSoutheastern Physician Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571
Entity NameApp of Tennessee HM, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396160768
PECOS PAC ID: 5395960694
Enrollment ID: O20140630001088

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. Lisa J Godwin 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
Lisa J Godwin, FNP-C
1923 Sulphur Springs Rd,
Morristown, TN 37813-5654

Ph: (423) 317-9344		Lisa J Godwin, FNP-C
880 Rutledge Pike,
Blaine, TN 37709-2317

Ph: (865) 933-4110

Reviews and Comments


Nurse Practitioner Nurses in Blaine, TN

Brittney Burns, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 880 Rutledge Pike, Blaine, TN 37709
Phone: 865-933-4110    Fax: 865-933-4729
Jessica Leann Gates, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 880 Rutledge Pike, Blaine, TN 37709
Phone: 865-933-4110    Fax: 865-933-4729
Mrs. Chandra B. Blanken, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1066 Rutledge Pike, Blaine, TN 37709
Phone: 865-933-9477    Fax: 865-933-9466
Crystal L Larrimore, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 880 Rutledge Pike, Blaine, TN 37709
Phone: 865-933-4110    Fax: 865-933-4729
Wanda Fay White, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 586 Rutledge Pike, Blaine, TN 37709
Phone: 865-705-2624    
Mary C Russell, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 180 Emory Rd, Blaine, TN 37709
Phone: 865-933-4110    Fax: 865-933-4729
Tammy Gould, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1066 Rutledge Pike, Blaine, TN 37709
Phone: 865-933-9477    Fax: 865-933-9466

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.