Dave Gooden, MSW LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fordland, Missouri. His current practice location is
1194 Green Hill Rd, Fordland, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 767-2490.
Dave Gooden is licensed to practice in Missouri (license number 2153) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275793002.
Healthcare Provider's Profile
Full Name | Dave Gooden |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 1194 Green Hill Rd, Fordland, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275793002
- Provider Enumeration Date: 06/16/2008
- Last Update Date: 06/16/2008
Medicare PECOS Information:
- PECOS PAC ID: 1355497041
- Enrollment ID: I20090922000386
Medical Identifiers
Medical identifiers for Dave Gooden such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275793002 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 2153 (Missouri) | Primary |
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. Dave Gooden allows following entities to bill medicare on his behalf.
Entity Name | Tri-county Psychological Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548306855 PECOS PAC ID: 2264479161 Enrollment ID: O20050412001230 |
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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. Dave Gooden 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 |
Dave Gooden, MSW LCSW 1194 Green Hill Rd, Fordland, MO 65652-8253 Ph: () - | Dave Gooden, MSW LCSW 1194 Green Hill Rd, Fordland, MO 65652-8253 Ph: (417) 767-2490 |
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