Kelly Goggin, LCPC in Waukegan, IL - Medicare Counselor Provider

Kelly Goggin, LCPC is a medicare enrolled "Counselor - Mental Health" provider in Waukegan, Illinois. Her current practice location is 3010 Grand Ave, Waukegan, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 377-8296.

Kelly Goggin is licensed to practice in Illinois (license number 180.010225) 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 1922455120.

Contact Information

	Kelly Goggin, LCPC
	3010 Grand Ave, Waukegan, IL 60085-2321
	(847) 377-8296
	(847) 984-5689

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Goggin
Gender	Female
Speciality	Counselor - Mental Health
Location	3010 Grand Ave, Waukegan, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922455120
Provider Enumeration Date: 05/17/2016
Last Update Date: 11/01/2023

Medicare PECOS Information:

PECOS PAC ID: 5799120762
Enrollment ID: I20240229001298

Medical Identifiers

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

Identifier	Type	State	Issuer
1922455120	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	180.010225 (Illinois)	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. Kelly Goggin allows following entities to bill medicare on her behalf.

Entity Name	County Of Lake
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164446712 PECOS PAC ID: 7214838861 Enrollment ID: O20040116000192

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. Kelly Goggin 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
Kelly Goggin, LCPC 3010 Grand Ave, Waukegan, IL 60085-2321 Ph: (847) 377-8296	Kelly Goggin, LCPC 3010 Grand Ave, Waukegan, IL 60085-2321 Ph: (847) 377-8296

Reviews and Comments

Counselor in Waukegan, IL

Linda Metts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-7847 Fax: 847-984-5635
Mrs. Patrice Louise Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8120 Fax: 847-984-5689
Mr. Raymond Bernard Mcqueen, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8296 Fax: 847-984-5689
Sindy Lorena Guerra, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8321 Fax: 847-793-5689
Richard Andrew Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3002 Grand Ave, Waukegan, IL 60085 Phone: 847-377-3257
Janaina Maria Silva, NCE, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 Washington St, Waukegan, IL 60085 Phone: 847-441-5600 Fax: 847-441-7968
Vernessa Stepney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8296 Fax: 847-984-5689

Kelly Goggin, LCPC - Medicare Counselor in Waukegan, IL