Sean Goddard, NP in Fort Wayne, IN - Medicare Nurse Practitioner

Sean Goddard, NP is a medicare enrolled "Nurse Practitioner" in Fort Wayne, Indiana. He graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Viking Psychiatry Llc and his current practice location is 9025 Coldwater Rd Ste 100, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 459-9225.

Sean Goddard is licensed to practice in Indiana (license number 28206231) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285117143.

Contact Information

	Sean Goddard, NP
	9025 Coldwater Rd Ste 100, Fort Wayne, IN 46825-2071
	(260) 459-9225
	(260) 800-1512

Map and Direction

Provider's Profile

Full Name	Sean Goddard
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	9025 Coldwater Rd Ste 100, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sean Goddard graduated from nursing school in 2018

NPI Data:

NPI Number: 1285117143
Provider Enumeration Date: 09/07/2018
Last Update Date: 02/21/2024

Medicare PECOS Information:

PECOS PAC ID: 5294088670
Enrollment ID: I20181101001078

Medical Identifiers

Medical identifiers for Sean Goddard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285117143	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1133599 (Kentucky)	Secondary
363L00000X	Nurse Practitioner	28206231 (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Viking Psychiatry Llc	4385093350	3

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. Sean Goddard allows following entities to bill medicare on his behalf.

Entity Name	Viking Psychiatry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184292054 PECOS PAC ID: 4385093350 Enrollment ID: O20231215002045

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. Sean Goddard 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
Sean Goddard, NP 9025 Coldwater Rd Ste 100, Fort Wayne, IN 46825-2071 Ph: (260) 459-9225	Sean Goddard, NP 9025 Coldwater Rd Ste 100, Fort Wayne, IN 46825-2071 Ph: (260) 459-9225

Reviews and Comments

Nurse Practitioner Nurses in Fort Wayne, IN

Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911
Mrs. Jamie Lynn Peppler, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814 Phone: 260-435-3272 Fax: 260-435-3275
Luann Deafenbaugh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-436-0800 Fax: 260-483-1911
Stephanie Ann Clouse, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672
Mr. Justin Michael Garrison, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4008 Stanton Dr, Fort Wayne, IN 46815 Phone: 260-760-7753
Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455

Sean Goddard, NP - Medicare Nurse Practitioner in Fort Wayne, IN