Tekeisha Goggins, is a medicare enrolled "Social Worker - Clinical" provider in Rainbow City, Alabama. Her current practice location is
105 Church St, Rainbow City, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 452-4058.
Tekeisha Goggins is licensed to practice in Alabama (license number 4090C) 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 1891200903.
Healthcare Provider's Profile
Full Name | Tekeisha Goggins |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 105 Church St, Rainbow City, Alabama |
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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: 1891200903
- Provider Enumeration Date: 12/12/2017
- Last Update Date: 12/12/2017
Medicare PECOS Information:
- PECOS PAC ID: 4183975667
- Enrollment ID: I20180921001932
Medical Identifiers
Medical identifiers for Tekeisha Goggins such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891200903 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 4090C (Alabama) | 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. Tekeisha Goggins allows following entities to bill medicare on her behalf.
Entity Name | Quality Of Life Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447200977 PECOS PAC ID: 7810890902 Enrollment ID: O20040324000006 |
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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. Tekeisha Goggins 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 |
Tekeisha Goggins, 105 Church St, Rainbow City, AL 35906-6242 Ph: () - | Tekeisha Goggins, 105 Church St, Rainbow City, AL 35906-6242 Ph: (256) 452-4058 |
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