Mr Benjamin Fulmer Goldrich, MSW is a medicare enrolled "Social Worker - Clinical" provider in Portsmouth, New Hampshire. He graduated from healthcare school in 2015 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Greater Seacoast Community Health and his current practice location is
8 Greenleaf Woods Dr, Portsmouth, New Hampshire. You can reach out to his office (for appointments etc.) via phone at
(603) 422-8208.
Mr Benjamin Fulmer Goldrich is licensed to practice in New Hampshire (license number 2583) 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 1245611359.
Healthcare Provider's Profile
| Full Name | Mr Benjamin Fulmer Goldrich |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 10 Years |
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| Location | 8 Greenleaf Woods Dr, Portsmouth, New Hampshire |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Benjamin Fulmer Goldrich graduated from medical school in 2015
NPI Data:
- NPI Number: 1245611359
- Provider Enumeration Date: 06/15/2015
- Last Update Date: 07/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 7315337375
- Enrollment ID: I20211206001774
Medical Identifiers
Medical identifiers for Mr Benjamin Fulmer Goldrich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245611359 | NPI | - | NPPES |
| 14208886 | Other | NH | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0583 (New Hampshire) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2583 (New Hampshire) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Greater Seacoast Community Health | 2769454974 | 28 |
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. Mr Benjamin Fulmer Goldrich allows following entities to bill medicare on his behalf.
| Entity Name | Greater Seacoast Community Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578854287
PECOS PAC ID: 2769454974
Enrollment ID: O20040809000966 |
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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. Mr Benjamin Fulmer Goldrich 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 |
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Mr Benjamin Fulmer Goldrich, MSW
311 Route 108,
Somersworth, NH 03878-1522
Ph: (603) 953-0065 | Mr Benjamin Fulmer Goldrich, MSW
8 Greenleaf Woods Dr,
Portsmouth, NH 03801-5436
Ph: (603) 422-8208 |
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