Dr David Jonthan Goodman, PHD in Grayslake, IL - Medicare Psychologist Provider

Dr David Jonthan Goodman, PHD is a medicare enrolled "Psychologist" provider in Grayslake, Illinois. His current practice location is 282 Banbury Ln, Grayslake, Illinois. You can reach out to his office (for appointments etc.) via phone at (414) 324-6348.

Dr David Jonthan Goodman is licensed to practice in Wisconsin (license number 2581-057) 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 1649380924.

Contact Information

	Dr David Jonthan Goodman, PHD
	282 Banbury Ln, Grayslake, IL 60030-3415
	(414) 324-6348
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr David Jonthan Goodman
Gender	Male
Speciality	Psychologist
Location	282 Banbury Ln, Grayslake, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649380924
Provider Enumeration Date: 08/30/2006
Last Update Date: 02/07/2025

Medicare PECOS Information:

PECOS PAC ID: 6103825906
Enrollment ID: I20061205000244

Medical Identifiers

Medical identifiers for Dr David Jonthan Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649380924	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071.011359 (Illinois)	Secondary
103T00000X	Psychologist	2581-057 (Wisconsin)	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. Dr David Jonthan Goodman allows following entities to bill medicare on his behalf.

Entity Name	Shorehaven Behavioral Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598800740 PECOS PAC ID: 0143324954 Enrollment ID: O20070404000380

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 David Jonthan Goodman 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 David Jonthan Goodman, PHD 282 Banbury Ln, Grayslake, IL 60030-3415 Ph: (414) 324-6348	Dr David Jonthan Goodman, PHD 282 Banbury Ln, Grayslake, IL 60030-3415 Ph: (414) 324-6348

Reviews and Comments

Psychologist in Grayslake, IL

Dr. Susan R Smith, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 S Atkinson Rd, Suite 203, Grayslake, IL 60030 Phone: 847-543-8378 Fax: 847-543-9424
Mrs. Kathleen Strott, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 340 N Alleghany Rd, Grayslake, IL 60030 Phone: 847-543-5907
Anita Kay Eisenstein, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 22010 W Washington St, Grayslake, IL 60030 Phone: 312-504-1913 Fax: 847-548-0298
Dr. Leah Pendarvis, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 11 N Slusser St, Grayslake, IL 60030 Phone: 847-548-9313 Fax: 847-548-7029
Dr. Chinni Chilamkurti, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 S Atkinson Rd, Suite 205, Grayslake, IL 60030 Phone: 847-548-0024
Michael Gamss, ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 595 Frederick Rd, Grayslake, IL 60030 Phone: 847-543-5300
Dr. Danielle Marie Ciccone- Coutre, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 419 Center St Ste C, Grayslake, IL 60030 Phone: 262-412-7302

Dr David Jonthan Goodman, PHD - Medicare Psychologist in Grayslake, IL