Mrs Stephannie Lorene Goodrum, APRN - Medicare Nurse Practitioner in Clinton, KY

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Mrs Stephannie Lorene Goodrum, APRN is a medicare enrolled "Nurse Practitioner - Family" in Clinton, Kentucky. Her current practice location is 308 S Washington St Ste 200, Clinton, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 653-0220.

Mrs Stephannie Lorene Goodrum is licensed to practice in Kentucky (license number 3011787) 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 1700396405.

Contact Information

Mrs Stephannie Lorene Goodrum, APRN
308 S Washington St Ste 200,
Clinton, KY 42031-1347
(270) 653-0220
(270) 653-0221

Map and Direction




Provider's Profile

Full NameMrs Stephannie Lorene Goodrum
GenderFemale
SpecialityNurse Practitioner - Family
Location308 S Washington St Ste 200, Clinton, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700396405
  • Provider Enumeration Date: 10/07/2017
  • Last Update Date: 10/07/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7719243781
  • Enrollment ID: I20171107002069

Medical Identifiers

Medical identifiers for Mrs Stephannie Lorene Goodrum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700396405NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3011787 (Kentucky)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. Mrs Stephannie Lorene Goodrum allows following entities to bill medicare on her behalf.
Entity NamePinelake Physician Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295960532
PECOS PAC ID: 6800797507
Enrollment ID: O20040115001094
Entity NameFast Pace Kentucky, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457716706
PECOS PAC ID: 0143525998
Enrollment ID: O20160216002913
Entity NameVmd Primary Providers Central Kentucky
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831674654
PECOS PAC ID: 6709119068
Enrollment ID: O20190531002182

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 Stephannie Lorene Goodrum 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
Mrs Stephannie Lorene Goodrum, APRN
175 Evans Ln,
Clinton, KY 42031-9402

Ph: (270) 217-9558		Mrs Stephannie Lorene Goodrum, APRN
308 S Washington St Ste 200,
Clinton, KY 42031-1347

Ph: (270) 653-0220

Reviews and Comments


Nurse Practitioner Nurses in Clinton, KY

Mrs. Jennifer Marie Mcdowell, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 106 Padgett Dr, Clinton, KY 42031
Phone: 270-653-5558    
Amy Marie Turner, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 308 S Washington St Ste 200, Clinton, KY 42031
Phone: 270-653-0220    Fax: 270-653-0220

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.