Dr Rebecca Goffman, LP is a medicare enrolled "Psychologist - Clinical" provider in New Hope, Minnesota. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Volunteers Of America Mn/wi, Swenson Psychological Services, Llc and her current practice location is
9220 Bass Lake Rd Ste 255, New Hope, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 225-4052.
Dr Rebecca Goffman is licensed to practice in Minnesota (license number LP5120) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1003048885.
Healthcare Provider's Profile
| Full Name | Dr Rebecca Goffman |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 17 Years |
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| Location | 9220 Bass Lake Rd Ste 255, New Hope, Minnesota |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Rebecca Goffman graduated from medical school in 2007
NPI Data:
- NPI Number: 1003048885
- Provider Enumeration Date: 08/13/2009
- Last Update Date: 10/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 7416132790
- Enrollment ID: I20110502000354
Medical Identifiers
Medical identifiers for Dr Rebecca Goffman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003048885 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | LP5120 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Volunteers Of America Mn/wi | 8123050259 | 6 |
| Swenson Psychological Services, Llc | 9638200793 | 4 |
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 Rebecca Goffman allows following entities to bill medicare on her behalf.
| Entity Name | Volunteers Of America Mn/wi |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093769572
PECOS PAC ID: 8123050259
Enrollment ID: O20050915000161 |
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| Entity Name | Swenson Psychological Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740429307
PECOS PAC ID: 9638200793
Enrollment ID: O20100706000654 |
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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. Dr Rebecca Goffman 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 |
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Dr Rebecca Goffman, LP
22426 Saint Francis Blvd,
Anoka, MN 55303-9670
Ph: (763) 753-7310 | Dr Rebecca Goffman, LP
9220 Bass Lake Rd Ste 255,
New Hope, MN 55428-3019
Ph: (763) 225-4052 |
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