Mark Goodman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bend, Oregon. His current practice location is
62930 O B Riley Rd Ste 200, Bend, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 330-1919.
Mark Goodman is licensed to practice in Oregon (license number 5447) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568749687.
Healthcare Provider's Profile
Full Name | Mark Goodman |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 62930 O B Riley Rd Ste 200, Bend, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568749687
- Provider Enumeration Date: 11/03/2011
- Last Update Date: 05/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224320775
- Enrollment ID: I20160701001692
Medical Identifiers
Medical identifiers for Mark Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568749687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 5447 (Oregon) | 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. Mark Goodman allows following entities to bill medicare on his behalf.
Entity Name | Sokyahealth Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447842232 PECOS PAC ID: 9739575648 Enrollment ID: O20220401000312 |
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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. Mark Goodman 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 |
Mark Goodman, LCSW 399 E 10th Ave, Eugene, OR 97401-3380 Ph: (541) 868-2004 | Mark Goodman, LCSW 62930 O B Riley Rd Ste 200, Bend, OR 97703-9459 Ph: (541) 330-1919 |
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