Miki Nishida Goerdt, is a medicare enrolled "Counselor - Mental Health" provider in Falls Church, Virginia. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
2916 Lawrence Dr, Falls Church, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 829-6350.
Miki Nishida Goerdt is licensed to practice in Virginia (license number 0904007089) 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 1558784520.
Healthcare Provider's Profile
Full Name | Miki Nishida Goerdt |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 20 Years |
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Location | 2916 Lawrence Dr, Falls Church, Virginia |
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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:
- Miki Nishida Goerdt graduated from medical school in 2004
NPI Data:
- NPI Number: 1558784520
- Provider Enumeration Date: 01/28/2014
- Last Update Date: 08/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 8123242781
- Enrollment ID: I20140623000132
Medical Identifiers
Medical identifiers for Miki Nishida Goerdt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558784520 | NPI | - | NPPES |
0904007089 | Other | VA | VA SOCIAL WORK LICENES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 0904007089 (Virginia) | Secondary |
101YM0800X | Counselor - Mental Health | 0904007089 (Virginia) | 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. Miki Nishida Goerdt allows following entities to bill medicare on her behalf.
Entity Name | Emerald Leaf Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518528959 PECOS PAC ID: 8729317136 Enrollment ID: O20190911000043 |
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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. Miki Nishida Goerdt 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 |
Miki Nishida Goerdt, 2916 Lawrence Dr, Falls Church, VA 22042-1405 Ph: (703) 829-6350 | Miki Nishida Goerdt, 2916 Lawrence Dr, Falls Church, VA 22042-1405 Ph: (703) 829-6350 |
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