Mary S Goodwyn, in Americus, GA - Medicare Counselor Provider

Mary S Goodwyn, is a medicare enrolled "Counselor - Professional" provider in Americus, Georgia. Her current practice location is 415 N Jackson St, Americus, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 931-2470.

Mary S Goodwyn is licensed to practice in Georgia (license number LPC002261) 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 1760756878.

Contact Information

	Mary S Goodwyn,
	415 N Jackson St, Americus, GA 31709-3015
	(229) 931-2470
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary S Goodwyn
Gender	Female
Speciality	Counselor - Professional
Location	415 N Jackson St, Americus, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760756878
Provider Enumeration Date: 03/07/2012
Last Update Date: 03/07/2012

Medicare PECOS Information:

PECOS PAC ID: 6608314281
Enrollment ID: I20240814000802

Medical Identifiers

Medical identifiers for Mary S Goodwyn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760756878	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC002261 (Georgia)	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. Mary S Goodwyn allows following entities to bill medicare on her behalf.

Entity Name	Privia Medical Group Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983

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. Mary S Goodwyn 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
Mary S Goodwyn, 415 N Jackson St, Americus, GA 31709 Ph: (229) 931-4425	Mary S Goodwyn, 415 N Jackson St, Americus, GA 31709-3015 Ph: (229) 931-2470

Reviews and Comments

Counselor in Americus, GA

Samuel Williams Jr., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 W Forsyth St, Suite F, Americus, GA 31709 Phone: 229-591-6241 Fax: 229-928-0467
Consuelo Ledbetter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 N Dudley St, Americus, GA 31709 Phone: 478-957-3532
Elsenna Dellonya Howard, CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 N Jackson St, Americus, GA 31709 Phone: 229-220-6333
Contessa Tanner-jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 N Jackson St, Po Drawer 1348, Americus, GA 31709 Phone: 229-931-2504 Fax: 229-931-2474
Sharon Mcfarland, CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 N Jackson St, P.o. Drawer 1348, Americus, GA 31709 Phone: 229-931-2470 Fax: 229-931-2474
Carolyn Jordan Patterson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 908 S Mlk Blvd, Americus, GA 31719 Phone: 229-931-2798 Fax: 229-931-2431
Patience V Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 Hale Dr, Americus, GA 31709 Phone: 229-591-9487

Mary S Goodwyn, - Medicare Counselor in Americus, GA