| Ms Deborah Jean Goddard, ARNP | |
|
300 Health Park Blvd, St Augustine, FL 32086-3707 | |
| (904) 819-4747 | |
| (904) 819-5080 |
| Full Name | Ms Deborah Jean Goddard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 30 Years |
| Location | 300 Health Park Blvd, St Augustine, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770521874 | NPI | - | NPPES |
| 306983400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP 3353562 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Doctors Memorial Hospital Inc | 5092614503 | 16 |
| Entity Name | Doctors Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285709451 PECOS PAC ID: 5092614503 Enrollment ID: O20040114000009 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Deborah Jean Goddard, ARNP 555 N Byron Butler Pkwy, Perry, FL 32347-2315 Ph: (850) 223-5400 | Ms Deborah Jean Goddard, ARNP 300 Health Park Blvd, St Augustine, FL 32086-3707 Ph: (904) 819-4747 |
Dr. Lilia Diaz Pino, PH.D., ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2703 N Ponce De Leon Blvd, St Augustine, FL 32084 Phone: 866-389-2727 | |
Mrs. Yvonne Derickson, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 206 Ashourian Ave Ste 209, St Augustine, FL 32092 Phone: 904-800-7246 Fax: 904-299-4116 | |
Mrs. Kelly Auclair, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Paseo Reyes Dr, St Augustine, FL 32095 Phone: 903-544-5800 Fax: 903-544-5800 | |
Kay Lewis Hood, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Whitehall Dr, St Augustine, FL 32086 Phone: 904-800-7246 | |
Joann Fritsch, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Health Park Blvd, St Augustine, FL 32086 Phone: 904-826-3469 Fax: 904-808-4608 | |
Rachel Long, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2703 N Ponce De Leon Blvd, St Augustine, FL 32084 Phone: 352-373-2507 | |
Melissa Spies, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2867 N 9th St, St Augustine, FL 32084 Phone: 904-999-7631 |