Lisa Kay Goodrich, APRN - Medicare Nurse Practitioner in Beavercreek, OH

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Lisa Kay Goodrich, APRN is a medicare enrolled "Nurse Practitioner" in Beavercreek, Ohio. Her current practice location is 4031 Colonel Glenn Hwy, Ste 133, Beavercreek, Ohio. You can reach out to her office (for appointments etc.) via phone at (552) 320-6448.

Lisa Kay Goodrich is licensed to practice in Ohio (license number F07221838) 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 1659092666.

Contact Information

Lisa Kay Goodrich, APRN
4031 Colonel Glenn Hwy, Ste 133,
Beavercreek, OH 45431-2774
(552) 320-6448
(888) 546-0488

Map and Direction




Provider's Profile

Full NameLisa Kay Goodrich
GenderFemale
SpecialityNurse Practitioner
Location4031 Colonel Glenn Hwy, Beavercreek, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659092666
  • Provider Enumeration Date: 09/07/2022
  • Last Update Date: 03/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9032655998
  • Enrollment ID: I20240726003018

Medical Identifiers

Medical identifiers for Lisa Kay Goodrich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659092666NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner F07221838 (Ohio)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. Lisa Kay Goodrich allows following entities to bill medicare on her behalf.
Entity NameMobile Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003002759
PECOS PAC ID: 4688685654
Enrollment ID: O20190426000298

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 Kay Goodrich 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 Kay Goodrich, APRN
4031 Colonel Glenn Hwy, Ste 133,
Beavercreek, OH 45431-2774

Ph: (552) 320-6448		Lisa Kay Goodrich, APRN
4031 Colonel Glenn Hwy, Ste 133,
Beavercreek, OH 45431-2774

Ph: (552) 320-6448

Reviews and Comments


Nurse Practitioner Nurses in Beavercreek, OH

Carrie Steward, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2605 Greenbrier Ct, Beavercreek, OH 45431
Phone: 937-782-8103    
Brandy L Mullett, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Pentagon Blvd # 1157, Beavercreek, OH 45431
Phone: 937-702-4450    Fax: 937-702-4459
Jessica Lynn Ullery, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Pentagon Blvd Ste 220, Beavercreek, OH 45431
Phone: 937-429-7350    Fax: 937-431-2623
Mrs. Theresa Marie Borchers, C.R.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1331 N Fairfield Rd, Beavercreek, OH 45432
Phone: 937-426-4280    
Ellen K Ratay, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 75 Sylvania Dr, Beavercreek, OH 45440
Phone: 937-320-5050    Fax: 937-320-5060
Laura Busteed,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Pentagon Blvd Ste 320, Beavercreek, OH 45431
Phone: 937-490-2270    
Sheryl Spires, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2510 Commons Blvd, Suite 210, Beavercreek, OH 45431
Phone: 937-429-0607    Fax: 937-558-3067

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.