Jaclyn Goodvin, OD - Medicare Optometrist in Milan, MI

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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 4 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 may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1467078915.

Contact Information

Jaclyn Goodvin, OD
7 E Main St,
Milan, MI 48160-1248
(734) 439-2020
(734) 439-2047

Map and Direction




Healthcare Provider's Profile

Full NameJaclyn Goodvin
GenderFemale
SpecialityOptometry
Experience4 Years
Location7 E Main St, Milan, Michigan
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  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.
IdentifierTypeStateIssuer
1467078915NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 006907 (Ohio)Secondary
152W00000XOptometrist 4901005451 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fountain Optometry, P.c.36785719162

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 NameRx Optical Laboratories Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1497781868
PECOS PAC ID: 9335032267
Enrollment ID: O20040205000024
Provider NameFountain Optometry, P.c.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1003991183
PECOS PAC ID: 3678571916
Enrollment ID: O20061120000482
Provider NameMyeyedr Optometry Of Michigan, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1639723596
PECOS PAC ID: 7416288949
Enrollment ID: O20191014002048

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 AddressPractice Location Address
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

Reviews and Comments


Optometrist in Milan, MI

Fountain Optometry, P.c.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 7 E Main St, Milan, MI 48160
Phone: 734-439-2020    Fax: 734-439-2047
Dr. Kevin Michael Fountain, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 7 E Main St, Milan, MI 48160
Phone: 734-439-2020    Fax: 734-439-2047

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.