Mrs Kelly Goff, LCSW in Williamsport, PA - Medicare Social Worker Provider

Mrs Kelly Goff, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Williamsport, Pennsylvania. Her current practice location is 836 Faxon Pkwy, Williamsport, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 577-0394.

Mrs Kelly Goff is licensed to practice in Pennsylvania (license number CW019788) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376935643.

Contact Information

	Mrs Kelly Goff, LCSW
	836 Faxon Pkwy, Williamsport, PA 17701-3704
	(814) 577-0394
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kelly Goff
Gender	Female
Speciality	Social Worker - Clinical
Location	836 Faxon Pkwy, Williamsport, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376935643
Provider Enumeration Date: 02/24/2015
Last Update Date: 02/09/2024

Medicare PECOS Information:

PECOS PAC ID: 7618330887
Enrollment ID: I20230906001121

Medical Identifiers

Medical identifiers for Mrs Kelly Goff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376935643	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CW019788 (Pennsylvania)	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. Mrs Kelly Goff allows following entities to bill medicare on her behalf.

Entity Name	Susquehanna Physician Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831132927 PECOS PAC ID: 2264336460 Enrollment ID: O20040503000889

Entity Name	Bmsc Az Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497201875 PECOS PAC ID: 4385929173 Enrollment ID: O20220315001769

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. Mrs Kelly Goff 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
Mrs Kelly Goff, LCSW 836 Faxon Pkwy, Williamsport, PA 17701-3704 Ph: (814) 577-0394	Mrs Kelly Goff, LCSW 836 Faxon Pkwy, Williamsport, PA 17701-3704 Ph: (814) 577-0394

Reviews and Comments

Social Worker in Williamsport, PA

Laurel Lea Spencer, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 435 W 4th St, Williamsport, PA 17701 Phone: 570-322-7873 Fax: 570-322-8026
Mrs. Lyndsey M Stiger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 Commerce Park Dr, Suite 110, Williamsport, PA 17701 Phone: 570-323-6944 Fax: 570-323-6944
Tanya D Frey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 Commerce Park Dr, Suite 110, Williamsport, PA 17701 Phone: 570-323-6944 Fax: 570-323-4529
Mr. Matthew Groff, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7525 Fax: 570-320-7484
John C Youngman, MSW,CSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1000 Commerce Park Dr, Suite 110, Williamsport, PA 17701 Phone: 570-323-6944 Fax: 570-323-4529
Mrs. Brandy Lachelle Thompson-fisher, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 123 Valley Heights Dr, Williamsport, PA 17701 Phone: 570-651-9087

Mrs Kelly Goff, LCSW - Medicare Clinical Social Worker in Williamsport, PA