Mr Kevon Jabarr Goodrum, in Hamden, CT - Medicare Marriage & Family Therapist Provider

Mr Kevon Jabarr Goodrum, is a medicare enrolled "Marriage & Family Therapist" provider in Hamden, Connecticut. His current practice location is 46 Ridge Rd, Hamden, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 752-8827.

Mr Kevon Jabarr Goodrum is licensed to practice in Georgia (license number MFT001607) 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 1831327006.

Contact Information

	Mr Kevon Jabarr Goodrum,
	46 Ridge Rd, Hamden, CT 06517-3506
	(203) 752-8827
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kevon Jabarr Goodrum
Gender	Male
Speciality	Marriage & Family Therapist
Location	46 Ridge Rd, Hamden, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831327006
Provider Enumeration Date: 06/26/2009
Last Update Date: 04/27/2024

Medicare PECOS Information:

PECOS PAC ID: 8921448051
Enrollment ID: I20240506003611

Medical Identifiers

Medical identifiers for Mr Kevon Jabarr Goodrum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831327006	NPI	-	NPPES
008042699	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFT001607 (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. Mr Kevon Jabarr Goodrum allows following entities to bill medicare on his behalf.

Entity Name	Counseling Services Of Atlanta Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508271024 PECOS PAC ID: 8820438716 Enrollment ID: O20240425001327

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 Kevon Jabarr Goodrum 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
Mr Kevon Jabarr Goodrum, 1812 Hidden Springs Walk Se, Smyrna, GA 30082-4254 Ph: (678) 444-4505	Mr Kevon Jabarr Goodrum, 46 Ridge Rd, Hamden, CT 06517-3506 Ph: (203) 752-8827

Reviews and Comments

Marriage & Family Therapist in Hamden, CT

Alisa Layla D'andrea, MFTA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1884 Whitney Ave, Hamden, CT 06517 Phone: 203-407-1310
Sandra Biller, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1844 Whitney Ave, Second Floor, Hamden, CT 06517 Phone: 203-710-2365
Kdiana Tamara Diakhate, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2911 Dixwell Ave Ste B-13, Hamden, CT 06518 Phone: 203-903-4507
Mrs. Sarah Elizabeth Lockery, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1400 Whitney Ave, Hamden, CT 06517 Phone: 203-248-2116 Fax: 203-287-9815
Patricia Alberino, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2405 Whitney Ave, Apt. #408, Hamden, CT 06518 Phone: 203-214-2110
Lauren Daros, LMFTA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1400 Whitney Ave, Hamden, CT 06517 Phone: 203-248-2116
Dr. Sebastian Antony Perumbilly, PH.D., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17 Melrose Ave, Hamden, CT 06518 Phone: 206-446-8865

Mr Kevon Jabarr Goodrum, - Medicare Couples Therapy in Hamden, CT