Thomas Wayne Goodwin, LPES is a
Psychologist - School based in Pendleton, South Carolina. Thomas Wayne Goodwin is licensed to practice in South Carolina (license number 3046) and his current practice location is
315 E Queen St, Pendleton, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(864) 403-2000.
NPI number for Thomas Wayne Goodwin is 1750628939 and his current mailing address is 315 E Queen St, Pendleton, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750628939.
Healthcare Provider's Profile
Full Name | Thomas Wayne Goodwin |
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Gender | Male |
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Speciality | Psychologist - School |
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Location | 315 E Queen St, Pendleton, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750628939
- Provider Enumeration Date: 01/09/2013
- Last Update Date: 09/18/2013
Medical Identifiers
Medical identifiers for Thomas Wayne Goodwin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750628939 | NPI | - | NPPES |
1942275649 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 3046 (South Carolina) | 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. Thomas Wayne Goodwin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Thomas Wayne Goodwin, LPES 315 E Queen St, Pendleton, SC 29670-1721 Ph: (864) 403-2000 | Thomas Wayne Goodwin, LPES 315 E Queen St, Pendleton, SC 29670-1721 Ph: (864) 403-2000 |
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