Mr David Goodwin, PHD in Philadelphia, PA - Medicare Psychologist Provider

Mr David Goodwin, PHD is a medicare enrolled "Psychologist" provider in Philadelphia, Pennsylvania. His current practice location is 4200 Monument Road, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 581-9110.

Mr David Goodwin is licensed to practice in Pennsylvania (license number PS006256L) 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 1265512362.

Contact Information

	Mr David Goodwin, PHD
	4200 Monument Road, Philadelphia, PA 19131
	(215) 581-9110
	(215) 581-3827

Map and Direction

Healthcare Provider's Profile

Full Name	Mr David Goodwin
Gender	Male
Speciality	Psychologist
Location	4200 Monument Road, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265512362
Provider Enumeration Date: 10/16/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9931460540
Enrollment ID: I20180222001212

Medical Identifiers

Medical identifiers for Mr David Goodwin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265512362	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PS006256L (Pennsylvania)	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. Mr David Goodwin allows following entities to bill medicare on his behalf.

Entity Name	Belmont Behavioral Hospital Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629468137 PECOS PAC ID: 1153636691 Enrollment ID: O20151208000473

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. Mr David Goodwin 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
Mr David Goodwin, PHD 115 Merbrook Ln, Merion Station, PA 19066-1619 Ph: (215) 581-9110	Mr David Goodwin, PHD 4200 Monument Road, Philadelphia, PA 19131 Ph: (215) 581-9110

Reviews and Comments

Psychologist in Philadelphia, PA

Nancy Allanoff Braveman, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34th Street & Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-7555 Fax: 215-590-7387
Thomas A Bartlett, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1735 Lombard St, Philadelphia, PA 19146 Phone: 215-732-3103 Fax: 215-732-8584
Dr. Michael S. Broder, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1420 Locust St, 7g, Philadelphia, PA 19102 Phone: 215-545-7000 Fax: 215-545-7011
Dr. Melisa English Moore, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34th & Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-7555 Fax: 215-590-7387
Dr. Lisa Marie Boschi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 90 Rochelle Ave, Philadelphia, PA 19128 Phone: 215-508-3300 Fax: 215-508-3210
Jessica Harpel, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 717-332-5114
Dr. Maria Drvoshanov, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1518 Walnut St Ste 607, Philadelphia, PA 19102 Phone: 571-606-9076

Mr David Goodwin, PHD - Medicare Psychologist in Philadelphia, PA