Mrs Miranda Lee Goforth, FNP in Eureka Springs, AR

Mrs Miranda Lee Goforth, FNP is a medicare enrolled "Nurse Practitioner - Family" in Eureka Springs, Arkansas. Her current practice location is 146 Passion Play Rd Ste A, Eureka Springs, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 253-9746.

Mrs Miranda Lee Goforth is licensed to practice in Arkansas (license number 218923) 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 1891015467.

Contact Information

	Mrs Miranda Lee Goforth, FNP
	146 Passion Play Rd Ste A, Eureka Springs, AR 72632-9455
	(479) 253-9746
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Miranda Lee Goforth
Gender	Female
Speciality	Nurse Practitioner - Family
Location	146 Passion Play Rd Ste A, Eureka Springs, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891015467
Provider Enumeration Date: 06/07/2010
Last Update Date: 06/17/2022

Medicare PECOS Information:

PECOS PAC ID: 1557487097
Enrollment ID: I20220510001478

Medical Identifiers

Medical identifiers for Mrs Miranda Lee Goforth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891015467	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R874514 (Arkansas)	Secondary
363LF0000X	Nurse Practitioner - Family	15025 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	218923 (Arkansas)	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 Miranda Lee Goforth allows following entities to bill medicare on her behalf.

Entity Name	Washington Regional Medical System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437102662 PECOS PAC ID: 8820995434 Enrollment ID: O20050131001064

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 Miranda Lee Goforth 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 Miranda Lee Goforth, FNP 146 Passion Play Rd Ste A, Eureka Springs, AR 72632-9455 Ph: (479) 253-9746	Mrs Miranda Lee Goforth, FNP 146 Passion Play Rd Ste A, Eureka Springs, AR 72632-9455 Ph: (479) 253-9746

Reviews and Comments

Nurse Practitioner Nurses in Eureka Springs, AR

Ruthann Marie Tucker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 161 Hillcrest Rd, Eureka Springs, AR 72631 Phone: 479-253-5815
Cynthia Kresse, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 146a Passion Play Rd, Eureka Springs, AR 72632 Phone: 479-253-9746 Fax: 479-253-2464
Jason Froeschle, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 146 Passion Play Rd, Eureka Springs, AR 72632 Phone: 479-253-9746
Heather Mcloud, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4004 E Van Buren, Eureka Springs, AR 72632 Phone: 479-363-6196 Fax: 888-498-4090
Michael Edward Murphy, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 146 Passion Play Rd, Eureka Springs, AR 72632 Phone: 479-253-9746 Fax: 479-253-2464
Jennie Marie Spears, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 146a Passion Play Rd, Eureka Springs, AR 72632 Phone: 479-253-9746 Fax: 479-253-2464
Mrs. Shelia Mae Howerton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4004 E Van Buren, Eureka Springs, AR 72632 Phone: 479-363-6196 Fax: 888-498-4090

Mrs Miranda Lee Goforth, FNP - Medicare Nurse Practitioner in Eureka Springs, AR