Ms Jessica Goulart, PMHNP-BC, FNP-C is a medicare enrolled "Psychiatry & Neurology - Psychiatry" in Wakefield, Massachusetts. Her current practice location is
607 North Ave Ofc 18, Wakefield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(781) 705-0567.
Ms Jessica Goulart is licensed to practice in Massachusetts (license number RN2290970) 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 1417337908.
Provider's Profile
| Full Name | Ms Jessica Goulart |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 607 North Ave Ofc 18, Wakefield, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417337908
- Provider Enumeration Date: 06/01/2015
- Last Update Date: 06/10/2026
Medicare PECOS Information:
- PECOS PAC ID: 0244530749
- Enrollment ID: I20151207001268
Medical Identifiers
Medical identifiers for Ms Jessica Goulart such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417337908 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | RN2290970 (Massachusetts) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | RN2290970 (Massachusetts) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | APRN11025316 (Florida) | Secondary |
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. Ms Jessica Goulart allows following entities to bill medicare on her behalf.
| Entity Name | Prima Care, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265422596 PECOS PAC ID: 2567356017 Enrollment ID: O20040214000027 |
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| Entity Name | Steward Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007 |
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| Entity Name | Steward Emergency Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780971275 PECOS PAC ID: 0244401404 Enrollment ID: O20110919000768 |
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| Entity Name | Drx Uc Saugus Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871865709 PECOS PAC ID: 7214187863 Enrollment ID: O20121017000496 |
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| Entity Name | Drx Malden Professionals Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215379789 PECOS PAC ID: 4880818756 Enrollment ID: O20140616001064 |
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| Entity Name | Urgent Care Operations Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417311309 PECOS PAC ID: 6406141217 Enrollment ID: O20160818000403 |
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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. Ms Jessica Goulart 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 |
Ms Jessica Goulart, PMHNP-BC, FNP-C 607 North Ave Ofc 18, Wakefield, MA 01880-1306 Ph: (781) 705-0567 | Ms Jessica Goulart, PMHNP-BC, FNP-C 607 North Ave Ofc 18, Wakefield, MA 01880-1306 Ph: (781) 705-0567 |
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