Jill Goodwin, LPC, MFT, ATR is a medicare enrolled "Marriage & Family Therapist" provider in Grand Ronde, Oregon. Her current practice location is
9605 Grand Ronde Rd, Grand Ronde, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 879-2026.
Jill Goodwin is licensed to practice in Oregon (license number T2320) 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 1477096386.
Healthcare Provider's Profile
Full Name | Jill Goodwin |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 9605 Grand Ronde Rd, Grand Ronde, 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: 1477096386
- Provider Enumeration Date: 11/24/2016
- Last Update Date: 01/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335585892
- Enrollment ID: I20240307000856
Medical Identifiers
Medical identifiers for Jill Goodwin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477096386 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | T2320 (Oregon) | Secondary |
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. Jill Goodwin allows following entities to bill medicare on her behalf.
Entity Name | Confederated Tribes Of The Grand Ronde Community Of Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174666358 PECOS PAC ID: 6103717277 Enrollment ID: O20040320000494 |
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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. Jill Goodwin 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 |
Jill Goodwin, LPC, MFT, ATR 1035 Calhoun St, New Orleans, LA 70118-5913 Ph: (504) 308-3501 | Jill Goodwin, LPC, MFT, ATR 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2026 |
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