Marie Rallie Goodson, MS-CCC-SLP in La Quinta, CA - Medicare Speech-Language Pathologist Provider

Marie Rallie Goodson, MS-CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in La Quinta, California. Her current practice location is 54885 Avenida Carranza, La Quinta, California. You can reach out to her office (for appointments etc.) via phone at (760) 775-8160.

Marie Rallie Goodson is licensed to practice in California (license number SP8945) 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 1982851200.

Contact Information

	Marie Rallie Goodson, MS-CCC-SLP
	54885 Avenida Carranza, La Quinta, CA 92253-3745
	(760) 775-8160
	(760) 775-8483

Map and Direction

Healthcare Provider's Profile

Full Name	Marie Rallie Goodson
Gender	Female
Speciality	Speech-language Pathologist
Location	54885 Avenida Carranza, La Quinta, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982851200
Provider Enumeration Date: 08/19/2008
Last Update Date: 12/21/2021

Medicare PECOS Information:

PECOS PAC ID: 4880029172
Enrollment ID: I20200114003084

Medical Identifiers

Medical identifiers for Marie Rallie Goodson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982851200	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SP8945 (California)	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. Marie Rallie Goodson allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Marie Rallie Goodson 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
Marie Rallie Goodson, MS-CCC-SLP 54885 Avenida Carranza, La Quinta, CA 92253-3745 Ph: (310) 387-0740	Marie Rallie Goodson, MS-CCC-SLP 54885 Avenida Carranza, La Quinta, CA 92253-3745 Ph: (760) 775-8160

Reviews and Comments

Speech-Language Pathologist in La Quinta, CA

Shanna Jane Lund, M.S./CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 78030 Calle Barcelona, Suite F, La Quinta, CA 92253 Phone: 760-989-1941
Mrs. Alisha Marie Ceja, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 78900 Avenue 47 Ste 100, La Quinta, CA 92253 Phone: 760-600-5811
Maverick Zamora, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 78030 Calle Barcelona, Suite F, La Quinta, CA 92253 Phone: 760-799-6186
Mrs. Marcey Gabrielle Utter, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 79440 Corporate Center Dr, Suite 113, La Quinta, CA 92253 Phone: 760-564-4726 Fax: 760-564-4728
Carla Figueroa, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 78900 Avenue 47 Ste 100, La Quinta, CA 92253 Phone: 760-600-5811
Heather Malagar, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 78900 Avenue 47 Ste 100, La Quinta, CA 92253 Phone: 760-600-5811
Lanae Glosson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 78034 Calle Barcelona Ste A, La Quinta, CA 92253 Phone: 760-600-5811

Marie Rallie Goodson, MS-CCC-SLP - Medicare Speech-Language Pathologist in La Quinta, CA