Dr Mallory Michelle Goodrich, DPT in Portland, ME - Medicare Physical Therapy Provider

Dr Mallory Michelle Goodrich, DPT is a medicare enrolled "Physical Therapist" provider in Portland, Maine. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Dirigo Physical Therapy And Performance and her current practice location is 561 Congress St, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 536-4968.

Dr Mallory Michelle Goodrich is licensed to practice in Maine (license number PT5484) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417507179.

Contact Information

	Dr Mallory Michelle Goodrich, DPT
	561 Congress St, Portland, ME 04101-3308
	(207) 536-4968
	(207) 213-4116

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mallory Michelle Goodrich
Gender	Female
Speciality	Physical Therapy
Experience	5 Years
Location	561 Congress St, Portland, Maine
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mallory Michelle Goodrich graduated from medical school in 2019

NPI Data:

NPI Number: 1417507179
Provider Enumeration Date: 09/16/2019
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 2365875184
Enrollment ID: I20191210001452

Medical Identifiers

Medical identifiers for Dr Mallory Michelle Goodrich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417507179	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT5484 (Maine)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dirigo Physical Therapy And Performance	9234489212	6

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. Dr Mallory Michelle Goodrich allows following entities to bill medicare on her behalf.

Provider Name	Dirigo Physical Therapy And Performance
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1992295513 PECOS PAC ID: 9234489212 Enrollment ID: O20180912003090

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. Dr Mallory Michelle Goodrich 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
Dr Mallory Michelle Goodrich, DPT 5 Carrier Wood Rd Apt 77, Scarborough, ME 04074-7192 Ph: (207) 205-2294	Dr Mallory Michelle Goodrich, DPT 561 Congress St, Portland, ME 04101-3308 Ph: (207) 536-4968

Reviews and Comments

Physical Therapist in Portland, ME

Dr. Samuel Brian Methot, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 331 Veranda St Ste 401, Portland, ME 04103 Phone: 207-536-0702 Fax: 207-536-0785
Alison Glass, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-4892
Rebecca Naomi Lewis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 914-715-0610
Wendy A Richards, MS PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 94 Auburn St, Suite 3, Portland, ME 04103 Phone: 207-797-7578 Fax: 207-797-8165
Gianna Gabrielle Pezzano, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 331 Veranda St Rm 3311, Portland, ME 04103 Phone: 207-536-0702 Fax: 207-536-0785
Dr. Elizabeth Goodrich, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 561 Congress St, Portland, ME 04101 Phone: 207-536-4968
Alliance Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 Veranda St Ste 401, Portland, ME 04103 Phone: 207-536-0702 Fax: 207-536-0785

Dr Mallory Michelle Goodrich, DPT - Medicare Physical Therapist in Portland, ME