Bonnie J Goodwin, MD
Individual provider Active NPI Hematology & Oncology Physician · Pollocksville, NC
NPI 1922091875 · NPPES record last updated Mar 17, 2017
Key facts
- NPI
- 1922091875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 27049 (NC)
- Practice address
- 137 Medical Lane
Pollocksville, NC 28573 - Phone
- (252) 633-1010
- Fax
- (252) 224-3071
- NPI assigned
- Aug 25, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.61 of 100
- Quality
- 57.39
- Promoting interoperability
- 68
- Improvement activities
- 40
- Cost
- 77.97
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050607000076 | NC | Practitioner - Hematology/Oncology |
5092758441 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27049 | NC | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinaeast Physicians | Current |
Accepting new patients | |
| Carolinaeast Physicians | Current | Accepting new patients | |
| Carolinaeast Physicians | Current |
Accepting new patients |
Locations
532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088
2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104
137 Medical Ln
Pollocksville, NC 28573
Phone (252) 633-1010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 27049 | NC | Yes |
Addresses
Primary practice location
137 Medical Lane
Pollocksville, NC 28573
Mailing address
PO Box 896206
Charlotte, NC 28289-6206
Phone (252) 633-1010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8936266 | Medicaid | NC | |
| 36266 | Other | NC | BLUE CROSS |
Other providers in Pollocksville, NC
- Eastern Carolina Internal Medicine PA
- Executive Medical Transportation, LTD
- Nicholas Farina
- Fields Foundation
- Benjamin Donald Gilmore
- Jennifer Lynn Holmes
- Robert Orin Holmes Jr.
- Sherry Mattocks Jarman
- John Brian Jasper II
- Katherine Pandelidis Kaufman
All providers in Pollocksville, NC · Hematology & Oncology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.