Jessica Donn Goodman, PHD is a medicare enrolled "Psychologist - Clinical" provider in Gladwyne, Pennsylvania. Her current practice location is
1125 Norsam Rd, Gladwyne, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(513) 505-7934.
Jessica Donn Goodman is licensed to practice in Florida (license number PY10656) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942256292.
Healthcare Provider's Profile
Full Name | Jessica Donn Goodman |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 1125 Norsam Rd, Gladwyne, Pennsylvania |
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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: 1942256292
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 08/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 2668695107
- Enrollment ID: I20140602000766
Medical Identifiers
Medical identifiers for Jessica Donn Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942256292 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PS016377 (Pennsylvania) | Secondary |
103TC0700X | Psychologist - Clinical | PY10656 (Florida) | 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. Jessica Donn Goodman allows following entities to bill medicare on her behalf.
Entity Name | Horizon Behavioral Health, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003450842 PECOS PAC ID: 3173953171 Enrollment ID: O20200415000016 |
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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. Jessica Donn 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 |
Jessica Donn Goodman, PHD 1125 Norsam Rd, Gladwyne, PA 19035-1419 Ph: (513) 505-7934 | Jessica Donn Goodman, PHD 1125 Norsam Rd, Gladwyne, PA 19035-1419 Ph: (513) 505-7934 |
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