Tiffany Goodwin, is a
Registered Nurse based in Fredericktown, Pennsylvania. Tiffany Goodwin is licensed to practice in Pennsylvania (license number RN635499) and her current practice location is
84 Blanche Rd, Fredericktown, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(412) 212-8851.
NPI number for Tiffany Goodwin is 1043136807 and her current mailing address is Po Box 541, Fredericktown, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043136807.
Provider's Profile
| Full Name | Tiffany Goodwin |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 84 Blanche Rd, Fredericktown, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043136807
- Provider Enumeration Date: 06/26/2026
- Last Update Date: 06/26/2026
Medical Identifiers
Medical identifiers for Tiffany Goodwin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1043136807 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | RN635499 (Pennsylvania) | Primary |
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. Tiffany Goodwin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Tiffany Goodwin, Po Box 541, Fredericktown, PA 15333-0541 Ph: (412) 212-8851 | Tiffany Goodwin, 84 Blanche Rd, Fredericktown, PA 15333-2154 Ph: (412) 212-8851 |
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