Mrs Jessica Smith Goodman, FNP-C is a medicare enrolled "Nurse Practitioner" in Granite Quarry, North Carolina. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Novant Medical Group Inc and her current practice location is
111 S Salisbury Gq Ave, Granite Quarry, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 279-1679.
Mrs Jessica Smith Goodman is licensed to practice in North Carolina (license number F06201620) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225630080.
Provider's Profile
Full Name | Mrs Jessica Smith Goodman |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 4 Years |
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Location | 111 S Salisbury Gq Ave, Granite Quarry, North Carolina |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Jessica Smith Goodman graduated from nursing school in 2020
NPI Data:
- NPI Number: 1225630080
- Provider Enumeration Date: 11/16/2020
- Last Update Date: 11/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 0840603288
- Enrollment ID: I20210104001876
Medical Identifiers
Medical identifiers for Mrs Jessica Smith Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225630080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | F06201620 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Novant Medical Group Inc | 1153234893 | 1996 |
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. Mrs Jessica Smith Goodman allows following entities to bill medicare on her behalf.
Entity Name | Novant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
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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. Mrs Jessica Smith 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 Address | Practice Location Address |
Mrs Jessica Smith Goodman, FNP-C Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Mrs Jessica Smith Goodman, FNP-C 111 S Salisbury Gq Ave, Granite Quarry, NC 28146-8150 Ph: (704) 279-1679 |
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