Mary Lisa Goodman, NURSE PRACTITIONER - Medicare Nurse Practitioner in New Port Richey, FL

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Mary Lisa Goodman, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Adult Health" in New Port Richey, Florida. Her current practice location is 1807 Short Branch Dr Ste 102, New Port Richey, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 376-3547.

Mary Lisa Goodman is licensed to practice in Florida (license number 11014405) 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 1265105803.

Contact Information

Mary Lisa Goodman, NURSE PRACTITIONER
1807 Short Branch Dr Ste 102,
New Port Richey, FL 34655-4424
(727) 376-3547
Not Available

Map and Direction




Provider's Profile

Full NameMary Lisa Goodman
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location1807 Short Branch Dr Ste 102, New Port Richey, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265105803
  • Provider Enumeration Date: 07/29/2021
  • Last Update Date: 07/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4385016401
  • Enrollment ID: I20230217001166

Medical Identifiers

Medical identifiers for Mary Lisa Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265105803NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 11014405 (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. Mary Lisa Goodman allows following entities to bill medicare on her behalf.
Entity NameTrinity Family And Sports Medicine Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891991238
PECOS PAC ID: 3971680646
Enrollment ID: O20080404000336

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. Mary Lisa Goodman 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
Mary Lisa Goodman, NURSE PRACTITIONER
4404 W Ballast Point Blvd,
Tampa, FL 33611-5602

Ph: (813) 895-4727		Mary Lisa Goodman, NURSE PRACTITIONER
1807 Short Branch Dr Ste 102,
New Port Richey, FL 34655-4424

Ph: (727) 376-3547

Reviews and Comments


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Phone: 727-232-0644    Fax: 888-546-0488
Kelli Monnin,
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Devon Glynn, FNP-BC
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Practice Location: 8606 Government Dr Ste 3, New Port Richey, FL 34654
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Cathleen A Barrett, PMHNP
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Desiree R Rupe, FNP-C
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Phone: 727-371-8570    
Mrs. Carly Nicole Johnson, ARNP, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 6600 Madison St, New Port Richey, FL 34652
Phone: 727-734-6888    

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.