Stacia Larose Godboldt, CNM in St Augustine, FL - Medicare Certified Nurse Midwife (cnm)

Stacia Larose Godboldt, CNM is a medicare enrolled "Advanced Practice Midwife" in St Augustine, Florida. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Florida Woman Care Llc and her current practice location is 300 Health Park Blvd Ste 3002, St Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 819-1500.

Stacia Larose Godboldt is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356040018.

Contact Information

	Stacia Larose Godboldt, CNM
	300 Health Park Blvd Ste 3002, St Augustine, FL 32086-3703
	(904) 819-1500
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacia Larose Godboldt
Gender	Female
Speciality	Certified Nurse Midwife (cnm)
Experience	3 Years
Location	300 Health Park Blvd Ste 3002, 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.

Medical Education and Training:

Stacia Larose Godboldt graduated from nursing school in 2022

NPI Data:

NPI Number: 1356040018
Provider Enumeration Date: 03/01/2023
Last Update Date: 03/02/2023

Medicare PECOS Information:

PECOS PAC ID: 3274998687
Enrollment ID: I20230508000334

Medical Identifiers

Medical identifiers for Stacia Larose Godboldt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356040018	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Florida Woman Care Llc	5395807218	544

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. Stacia Larose Godboldt allows following entities to bill medicare on her behalf.

Entity Name	Florida Woman Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386823243 PECOS PAC ID: 5395807218 Enrollment ID: O20081230000509

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. Stacia Larose Godboldt 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
Stacia Larose Godboldt, CNM 184 Oak Shadow Pl, Saint Johns, FL 32259-7425 Ph: (904) 652-7298	Stacia Larose Godboldt, CNM 300 Health Park Blvd Ste 3002, St Augustine, FL 32086-3703 Ph: (904) 819-1500

Reviews and Comments

Advanced Practice Midwife Nurses in St Augustine, FL

Lorraine M Searle, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086 Phone: 904-814-8321 Fax: 904-810-1023
Maureen Riccitello, ARNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3100 Us Highway 1 S, Suite 1, St Augustine, FL 32086 Phone: 904-824-4990 Fax: 904-824-2226
Elizabeth Arnett, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086 Phone: 904-819-1500
Lindsay Anne Stubbs, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 300 Health Park Blvd Ste 3002, St Augustine, FL 32086 Phone: 904-819-1500 Fax: 904-810-1023
Mrs. Elizabeth H Meadows, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086 Phone: 904-819-1500 Fax: 904-810-1023

Stacia Larose Godboldt, CNM - Medicare Certified Nurse Midwife (cnm) in St Augustine, FL