Mrs Maria Goudas, MA LPCCS in Chardon, OH - Medicare Counselor Provider

Mrs Maria Goudas, MA LPCCS is a medicare enrolled "Counselor - Mental Health" provider in Chardon, Ohio. Her current practice location is 12557 Ravenwood Dr, Ravenwood Mental Health Center, Chardon, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 285-3568.

Mrs Maria Goudas is licensed to practice in Ohio (license number E.0002590-SUPV) 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 1083749808.

Contact Information

	Mrs Maria Goudas, MA LPCCS
	12557 Ravenwood Dr, Ravenwood Mental Health Center, Chardon, OH 44024
	(440) 285-3568
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Maria Goudas
Gender	Female
Speciality	Counselor - Mental Health
Location	12557 Ravenwood Dr, Chardon, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083749808
Provider Enumeration Date: 02/22/2007
Last Update Date: 11/08/2024

Medicare PECOS Information:

PECOS PAC ID: 5698113439
Enrollment ID: I20240329001420

Medical Identifiers

Medical identifiers for Mrs Maria Goudas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083749808	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	E.0002590-SUPV (Ohio)	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. Mrs Maria Goudas allows following entities to bill medicare on her behalf.

Entity Name	Ravenwood Mental Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730356296 PECOS PAC ID: 6901813922 Enrollment ID: O20060316000394

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. Mrs Maria Goudas 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
Mrs Maria Goudas, MA LPCCS 12557 Ravenwood Dr, Chardon, OH 44024-9009 Ph: (440) 285-3568	Mrs Maria Goudas, MA LPCCS 12557 Ravenwood Dr, Ravenwood Mental Health Center, Chardon, OH 44024 Ph: (440) 285-3568

Reviews and Comments

Counselor in Chardon, OH

Wendy Merlene Francis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12557 Ravenwood Dr, Chardon, OH 44024 Phone: 440-285-3568 Fax: 440-285-4552
Cassandra Bishop, Counselor Medicare: Not Enrolled in Medicare Practice Location: 695 South St Ste 6, Chardon, OH 44024 Phone: 440-286-1553
Erin Pond, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12557 Ravenwood Dr, Chardon, OH 44024 Phone: 440-285-3568
Elizabeth Breyley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 South St # 4a, Chardon, OH 44024 Phone: 440-285-2170
Jessica Brewster, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 695 South St Ste 6, Chardon, OH 44024 Phone: 440-286-1553 Fax: 440-286-1553
Sandra E Bruss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13000 Auburn Rd, Chardon, OH 44024 Phone: 440-226-9144

Mrs Maria Goudas, MA LPCCS - Medicare Counselor in Chardon, OH