Mr Cole Frederick Goodridge, MSN is a medicare enrolled "Nurse Practitioner - Family" in Villa Hills, Kentucky. His current practice location is
1064 Colina Dr, Villa Hills, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 620-4914.
Mr Cole Frederick Goodridge is licensed to practice in Arizona (license number 269855) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538814348.
Provider's Profile
| Full Name | Mr Cole Frederick Goodridge |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1064 Colina Dr, Villa Hills, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538814348
- Provider Enumeration Date: 02/21/2022
- Last Update Date: 02/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 8325426224
- Enrollment ID: I20220606001718
Medical Identifiers
Medical identifiers for Mr Cole Frederick Goodridge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538814348 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 269855 (Arizona) | 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. Mr Cole Frederick Goodridge allows following entities to bill medicare on his behalf.
| Entity Name | Sonoran Orthopaedic Trauma Surgeons |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952357022
PECOS PAC ID: 5991735979
Enrollment ID: O20050818001053 |
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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. Mr Cole Frederick Goodridge 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 |
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Mr Cole Frederick Goodridge, MSN
1064 Colina Dr,
Villa Hills, KY 41017-3741
Ph: (859) 620-4914 | Mr Cole Frederick Goodridge, MSN
1064 Colina Dr,
Villa Hills, KY 41017-3741
Ph: (859) 620-4914 |
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