Jaclyn Goodvin, OD is a medicare enrolled "Optometrist" provider in Milan, Michigan. She went to Ferris State College - College Of Optometry and graduated in 2020 and has 6 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Fountain Optometry, P.c. and her current practice location is
7 E Main St, Milan, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 439-2020.
Jaclyn Goodvin is licensed to practice in Michigan (license number 4901005451) 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 1467078915.
Healthcare Provider's Profile
| Full Name | Jaclyn Goodvin |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 6 Years |
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| Location | 7 E Main St, Milan, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jaclyn Goodvin attended and graduated from Ferris State College - College Of Optometry in 2020
NPI Data:
- NPI Number: 1467078915
- Provider Enumeration Date: 06/21/2020
- Last Update Date: 01/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789000613
- Enrollment ID: I20200821001828
Medical Identifiers
Medical identifiers for Jaclyn Goodvin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467078915 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 006907 (Ohio) | Secondary |
| 152W00000X | Optometrist | 4901005451 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Fountain Optometry, P.c. | 3678571916 | 2 |
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. Jaclyn Goodvin allows following entities to bill medicare on her behalf.
| Provider Name | Fountain Optometry, P.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003991183
PECOS PAC ID: 3678571916
Enrollment ID: O20061120000482 |
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| Provider Name | Myeyedr Optometry Of Michigan, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1639723596
PECOS PAC ID: 7416288949
Enrollment ID: O20191014002048 |
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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. Jaclyn Goodvin 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 |
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Jaclyn Goodvin, OD
7 E Main St,
Milan, MI 48160-1248
Ph: (734) 439-2020 | Jaclyn Goodvin, OD
7 E Main St,
Milan, MI 48160-1248
Ph: (734) 439-2020 |
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