Frederick Greg Goodrich, PHD is a medicare enrolled "Psychologist" provider in Bayshore, New York. His current practice location is
260 W Main St, Ste 7, Bayshore, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 665-3768.
Frederick Greg Goodrich is licensed to practice in New York (license number 08100) 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 1316007453.
Healthcare Provider's Profile
Full Name | Frederick Greg Goodrich |
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Gender | Male |
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Speciality | Psychologist |
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Location | 260 W Main St, Bayshore, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316007453
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6800072117
- Enrollment ID: I20110523000516
Medical Identifiers
Medical identifiers for Frederick Greg Goodrich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316007453 | NPI | - | NPPES |
00918332 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 08100 (New York) | Primary |
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. Frederick Greg 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 |
Frederick Greg Goodrich, PHD 260 W Main St, Ste 7, Bayshore, NY 11706 Ph: (631) 665-3768 | Frederick Greg Goodrich, PHD 260 W Main St, Ste 7, Bayshore, NY 11706 Ph: (631) 665-3768 |
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