Evan Goodman, in Fort Wayne, IN - Medicare Clinical Psychologist Provider

Evan Goodman, is a medicare enrolled "Psychologist - Clinical" provider in Fort Wayne, Indiana. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Compass Healthcare Plc and his current practice location is 909 E State Blvd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 482-9125.

Evan Goodman is licensed to practice in Indiana (license number 20043165A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588107569.

Contact Information

	Evan Goodman,
	909 E State Blvd, Fort Wayne, IN 46805-3404
	(260) 482-9125
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Evan Goodman
Gender	Male
Speciality	Clinical Psychologist
Experience	7 Years
Location	909 E State Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Evan Goodman graduated from medical school in 2017

NPI Data:

NPI Number: 1588107569
Provider Enumeration Date: 11/23/2016
Last Update Date: 11/26/2018

Medicare PECOS Information:

PECOS PAC ID: 9739423583
Enrollment ID: I20190228001554

Medical Identifiers

Medical identifiers for Evan Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588107569	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	20043165A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Compass Healthcare Plc	6002045895	56

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. Evan Goodman allows following entities to bill medicare on his behalf.

Entity Name	Compass Healthcare Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932533692 PECOS PAC ID: 6002045895 Enrollment ID: O20140127000294

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. Evan 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
Evan Goodman, 909 E State Blvd, Fort Wayne, IN 46805-3404 Ph: (260) 482-9125	Evan Goodman, 909 E State Blvd, Fort Wayne, IN 46805-3404 Ph: (260) 482-9125

Reviews and Comments

Psychologist in Fort Wayne, IN

Ms. Shauna Marie Croarkin, ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 Barr St, Fort Wayne, IN 46802 Phone: 260-467-1124 Fax: 260-467-1188
Amanda L Mayle, PSY.D., HSPP Psychologist Medicare: Medicare Enrolled Practice Location: 11141 Parkview Plaza Dr Ste 210, Fort Wayne, IN 46845 Phone: 260-266-5400 Fax: 260-266-5409
Dr. Michelle Renne Miller, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4630 W Jefferson Blvd, Ste 11a, Fort Wayne, IN 46804 Phone: 260-434-1606 Fax: 260-434-1612
Dr. Victor L Rebman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1910 Saint Joe Center Rd, Office #63, Fort Wayne, IN 46825 Phone: 260-471-9902 Fax: 260-471-9902
Michele Lynn Grimm, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 S Clinton St, Fort Wayne, IN 46802 Phone: 260-467-1150 Fax: 260-467-1188
Jason T. Cook, PSY.D., HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7230 Engle Rd, Ste 304, Fort Wayne, IN 46804 Phone: 260-483-2400 Fax: 260-960-9361
Dr. Galen Arthur Yordy, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2805 Fairfield Ave, Fort Wayne, IN 46807 Phone: 260-456-4880 Fax: 260-456-3559

Evan Goodman, - Medicare Psychologist in Fort Wayne, IN