Terry Goodspeed, in Independence, KS - Medicare Clinical Social Worker Provider

Terry Goodspeed, is a medicare enrolled "Social Worker - Clinical" provider in Independence, Kansas. He graduated from medical school in 1995 and has 30 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Four County Mental Health Center, Inc. and his current practice location is 3751 W Main St, Independence, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 331-1748.

Terry Goodspeed is licensed to practice in Kansas (license number 1903) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427150309.

Contact Information

	Terry Goodspeed,
	3751 W Main St, Independence, KS 67301-8446
	(620) 331-1748
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Terry Goodspeed
Gender	Male
Speciality	Clinical Social Worker
Experience	30 Years
Location	3751 W Main St, Independence, Kansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Terry Goodspeed graduated from medical school in 1995

NPI Data:

NPI Number: 1427150309
Provider Enumeration Date: 09/02/2006
Last Update Date: 12/01/2014

Medicare PECOS Information:

PECOS PAC ID: 6406021104
Enrollment ID: I20111208000047

Medical Identifiers

Medical identifiers for Terry Goodspeed such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427150309	NPI	-	NPPES
069573	Other	KS	MEDICARE PTAN
100322170B	Medicaid	KS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	1903 (Kansas)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	LCAC 300 (Kansas)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Four County Mental Health Center, Inc.	7012904071	14

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. Terry Goodspeed allows following entities to bill medicare on his behalf.

Entity Name	Four County Mental Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841290251 PECOS PAC ID: 7012904071 Enrollment ID: O20040430000887

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. Terry Goodspeed 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
Terry Goodspeed, Po Box 688, Independence, KS 67301-0688 Ph: () -	Terry Goodspeed, 3751 W Main St, Independence, KS 67301-8446 Ph: (620) 331-1748

Reviews and Comments

Social Worker in Independence, KS

Mr. Carl L Mitchell Jr., LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 220 E. Chestnut, Independence, KS 67301 Phone: 620-331-0057
Janet West, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Donald Ave, Independence, KS 67301 Phone: 620-331-1748
Cassie Nicolette Houf, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3925 Cr 3800, Independence, KS 67301 Phone: 636-359-4385
Miss Dacia Christine Thiele, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Arco Suite 501, Independence, KS 67301 Phone: 620-332-1230
Yehoshua M. Othniel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3751 W Main St, Independence, KS 67301 Phone: 620-331-1748
Ms. Marie Elaine Ingram, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Donald Ave, Independence, KS 67301 Phone: 620-331-3481 Fax: 620-332-5130

Terry Goodspeed, - Medicare Clinical Social Worker in Independence, KS