Stacy Nicole Goodpaster, LMSW in Lincoln Park, MI - Medicare Social Worker Provider

Stacy Nicole Goodpaster, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Lincoln Park, Michigan. Her current practice location is 26184 Outer Dr, Lincoln Park, Michigan. You can reach out to her office (for appointments etc.) via phone at (133) 389-7500.

Stacy Nicole Goodpaster is licensed to practice in Michigan (license number 6801104179) 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 1619016672.

Contact Information

	Stacy Nicole Goodpaster, LMSW
	26184 Outer Dr, Lincoln Park, MI 48146-2084
	(133) 389-7500
	(313) 389-7510

Map and Direction

Healthcare Provider's Profile

Full Name	Stacy Nicole Goodpaster
Gender	Female
Speciality	Social Worker - Clinical
Location	26184 Outer Dr, Lincoln Park, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619016672
Provider Enumeration Date: 02/06/2007
Last Update Date: 09/23/2019

Medicare PECOS Information:

PECOS PAC ID: 8022343789
Enrollment ID: I20190717002386

Medical Identifiers

Medical identifiers for Stacy Nicole Goodpaster such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619016672	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801104179 (Michigan)	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. Stacy Nicole Goodpaster allows following entities to bill medicare on her behalf.

Entity Name	Hegira Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184684979 PECOS PAC ID: 3173429560 Enrollment ID: O20031208000753

Entity Name	Community Care Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609844976 PECOS PAC ID: 5799758942 Enrollment ID: O20040816001041

Entity Name	Life Transition Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760876825 PECOS PAC ID: 2567788813 Enrollment ID: O20150303001751

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. Stacy Nicole Goodpaster 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
Stacy Nicole Goodpaster, LMSW 5408 Huron St, Dearborn Heights, MI 48125-2928 Ph: (734) 329-3727	Stacy Nicole Goodpaster, LMSW 26184 Outer Dr, Lincoln Park, MI 48146-2084 Ph: (133) 389-7500

Reviews and Comments

Social Worker in Lincoln Park, MI

Heidi Bremer, LLBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26180 West Outer Drive, Lincoln Park, MI 48146 Phone: 313-294-8821 Fax: 313-294-8824
Tina Maddox, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26300 Outer Dr, Lincoln Park, MI 48146 Phone: 313-388-4330
Mrs. Anna Rose Bushey, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26184 Outer Dr, Lincoln Park, MI 48146 Phone: 313-389-7500
Miss Stacey Schulman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26184 Outer Dr, Lincoln Park, MI 48146 Phone: 313-389-7500
Mr. James P. Lewis, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26300 Outer Dr, Lincoln Park, MI 48146 Phone: 313-388-4630 Fax: 313-388-0472
Miss Marway Sharon Johnson, LLMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 26184 Outer Dr, Lincoln Park, MI 48146 Phone: 313-389-7526
Mrs. Ellen O'bryan Robey, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 26184 Outer Dr, Lincoln Park, MI 48146 Phone: 313-389-7579

Stacy Nicole Goodpaster, LMSW - Medicare Clinical Social Worker in Lincoln Park, MI