Timika Shante Goodson, FNP-C, PMHNP-BC in Upper Marlboro, MD

Timika Shante Goodson, FNP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Upper Marlboro, Maryland. Her current practice location is 3421 Gentle Breeze Dr # A, Upper Marlboro, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 529-2027.

Timika Shante Goodson is licensed to practice in Maryland (license number R228537) 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 1053910794.

Contact Information

	Timika Shante Goodson, FNP-C, PMHNP-BC
	3421 Gentle Breeze Dr # A, Upper Marlboro, MD 20772-2549
	(443) 529-2027
	(240) 306-9503

Map and Direction

Provider's Profile

Full Name	Timika Shante Goodson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3421 Gentle Breeze Dr # A, Upper Marlboro, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053910794
Provider Enumeration Date: 10/23/2020
Last Update Date: 01/30/2024

Medicare PECOS Information:

PECOS PAC ID: 9335553064
Enrollment ID: I20230418001697

Medical Identifiers

Medical identifiers for Timika Shante Goodson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053910794	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN1055089 (District Of Columbia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN1055089 (District Of Columbia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R228537 (Maryland)	Primary
363LF0000X	Nurse Practitioner - Family	R228537 (Maryland)	Secondary
163WC1500X	Registered Nurse - Community Health	RN1055089 (District Of Columbia)	Secondary
163WH0200X	Registered Nurse - Home Health	R228537 (Maryland)	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. Timika Shante Goodson allows following entities to bill medicare on her behalf.

Entity Name	Neighborhood Nurse, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609594704 PECOS PAC ID: 2567837867 Enrollment ID: O20230418001467

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. Timika Shante Goodson 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
Timika Shante Goodson, FNP-C, PMHNP-BC 3421 Gentle Breeze Dr, Upper Marlboro, MD 20772-2549 Ph: (443) 529-2027	Timika Shante Goodson, FNP-C, PMHNP-BC 3421 Gentle Breeze Dr # A, Upper Marlboro, MD 20772-2549 Ph: (443) 529-2027

Reviews and Comments

Nurse Practitioner Nurses in Upper Marlboro, MD

Mrs. Olayemi O Johnson, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2901 Valerian Ln, Upper Marlboro, MD 20774 Phone: 240-381-6576
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Aileen Marie Raulin, RN CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9692 Pennsylvania Ave, Upper Marlboro, MD 20772 Phone: 301-599-7300 Fax: 301-599-0476
Mrs. Gisele Feumba Mbianda, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9717 Natalie Dr, Upper Marlboro, MD 20772 Phone: 202-652-6090

Timika Shante Goodson, FNP-C, PMHNP-BC - Medicare Nurse Practitioner in Upper Marlboro, MD