Jessica Ryan Jacques Goodman, OD is a medicare enrolled "Optometrist" provider in Berlin, Connecticut. She went to Pacific University - College Of Optometry and graduated in 2016 and has 9 years of diverse experience with area of expertise as Optometry. She is a member of the group practice P-cor,llc, Ratchford Eye Center Llc and her current practice location is
1166 Farmington Ave, Berlin, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 829-8939.
Jessica Ryan Jacques Goodman is licensed to practice in Connecticut (license number 3377) 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 1588019947.
Healthcare Provider's Profile
| Full Name | Jessica Ryan Jacques Goodman |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 9 Years |
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| Location | 1166 Farmington Ave, Berlin, Connecticut |
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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. |
Medical Education and Training:
- Jessica Ryan Jacques Goodman attended and graduated from Pacific University - College Of Optometry in 2016
NPI Data:
- NPI Number: 1588019947
- Provider Enumeration Date: 05/03/2016
- Last Update Date: 07/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 2365734027
- Enrollment ID: I20160718000346
Medical Identifiers
Medical identifiers for Jessica Ryan Jacques Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588019947 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | 4901004996 (Michigan) | Secondary |
| 152W00000X | Optometrist | 3377 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| P-cor,llc | 9931194149 | 79 |
| Ratchford Eye Center Llc | 0244245728 | 3 |
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. Jessica Ryan Jacques Goodman allows following entities to bill medicare on her behalf.
| Provider Name | P-cor Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1720033343 PECOS PAC ID: 9931194149 Enrollment ID: O20040417000048 |
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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. Jessica Ryan Jacques Goodman 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 |
Jessica Ryan Jacques Goodman, OD 1166 Farmington Ave, Berlin, CT 06037-2351 Ph: (860) 829-8939 | Jessica Ryan Jacques Goodman, OD 1166 Farmington Ave, Berlin, CT 06037-2351 Ph: (860) 829-8939 |
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