Michele M Goodwin, CRNP in Philadelphia, PA - Medicare Nurse Practitioner

Michele M Goodwin, CRNP is a medicare enrolled "Nurse Practitioner - Pediatrics, Critical Care" in Philadelphia, Pennsylvania. Her current practice location is 34th St And Civic Center Blvd, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 590-1000.

Michele M Goodwin is licensed to practice in New Jersey (license number 26NJ01250500) 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 1780829325.

Contact Information

	Michele M Goodwin, CRNP
	34th St And Civic Center Blvd, Philadelphia, PA 19104-4399
	(215) 590-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Michele M Goodwin
Gender	Female
Speciality	Nurse Practitioner - Pediatrics, Critical Care
Location	34th St And Civic Center Blvd, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780829325
Provider Enumeration Date: 12/11/2008
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 6103360532
Enrollment ID: I20240626003916

Medical Identifiers

Medical identifiers for Michele M Goodwin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780829325	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0222X	Nurse Practitioner - Pediatrics, Critical Care	SP010074 (Pennsylvania)	Secondary
363LP0222X	Nurse Practitioner - Pediatrics, Critical Care	26NJ01250500 (New Jersey)	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. Michele M Goodwin allows following entities to bill medicare on her behalf.

Entity Name	Robert Wood Johnson Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902848625 PECOS PAC ID: 8628065117 Enrollment ID: O20040427001205

Entity Name	Rutgers Health-rwj Primary Medicine Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659475283 PECOS PAC ID: 7911972674 Enrollment ID: O20040827000179

Entity Name	Rutgers Health-rwj Neurosurgery Faculty
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710012604 PECOS PAC ID: 4587613443 Enrollment ID: O20050118000611

Entity Name	Rutgers Health-rwj Pediatric Critical Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780766527 PECOS PAC ID: 1355390287 Enrollment ID: O20050119000070

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. Michele M Goodwin 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 Address	Practice Location Address
Michele M Goodwin, CRNP 131 Oak Glen Rd, Toms River, NJ 08753-3478 Ph: (732) 573-0151	Michele M Goodwin, CRNP 34th St And Civic Center Blvd, Philadelphia, PA 19104-4399 Ph: (215) 590-1000

Reviews and Comments

Nurse Practitioner Nurses in Philadelphia, PA

Ms. Nicole Marie Koepke, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med, Philadelphia, PA 19104 Phone: 215-590-1944 Fax: 215-590-4454
Kathleen Ellen Kearney, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3535 Market St, Suite 100, Philadelphia, PA 19104 Phone: 215-746-3535 Fax: 215-746-1032
Liza Thomas, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Boulevard, West Pavilion 3rd Floor, Philadelphia, PA 19104 Phone: 215-662-2891
Mr. Charles E Warrington Jr., CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Walnut St Fl 7, Medical Office Building, Philadelphia, PA 19107 Phone: 215-955-2165 Fax: 215-923-7957
Carley Bober, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34th Street And Civic Center Blvd, Cardiac Center At Chop, Philadelphia, PA 19104 Phone: 215-590-6051 Fax: 215-590-1340
Ms. Candyce S Dorsey, CRNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 S Broad St, Philadelphia, PA 19146 Phone: 215-755-0700
Ling Fan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107 Phone: 215-955-8304

Michele M Goodwin, CRNP - Medicare Nurse Practitioner in Philadelphia, PA