Kristy Diane Goodson, in Ammon, ID - Medicare Clinical Social Worker Provider

Kristy Diane Goodson, is a medicare enrolled "Social Worker - Clinical" provider in Ammon, Idaho. She graduated from medical school in 2013 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice 4 Pillars Of Success Llc and her current practice location is 1675 Curlew Dr, Ammon, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 523-5319.

Kristy Diane Goodson is licensed to practice in Idaho (license number LCSW-38393) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194156216.

Contact Information

	Kristy Diane Goodson,
	1675 Curlew Dr, Ammon, ID 83406-4718
	(208) 523-5319
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristy Diane Goodson
Gender	Female
Speciality	Clinical Social Worker
Experience	13 Years
Location	1675 Curlew Dr, Ammon, Idaho
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristy Diane Goodson graduated from medical school in 2013

NPI Data:

NPI Number: 1194156216
Provider Enumeration Date: 11/30/2013
Last Update Date: 08/02/2023

Medicare PECOS Information:

PECOS PAC ID: 2163765942
Enrollment ID: I20190517001629

Medical Identifiers

Medical identifiers for Kristy Diane Goodson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194156216	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-38393 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
4 Pillars Of Success Llc	4688027188	18

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. Kristy Diane Goodson allows following entities to bill medicare on her behalf.

Entity Name	Badger Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619134277 PECOS PAC ID: 3173794187 Enrollment ID: O20110923000401

Entity Name	4 Pillars Of Success Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619134277 PECOS PAC ID: 4688027188 Enrollment ID: O20240131004474

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. Kristy Diane 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
Kristy Diane Goodson, Po Box 2106, Idaho Falls, ID 83403-2106 Ph: (208) 523-5319	Kristy Diane Goodson, 1675 Curlew Dr, Ammon, ID 83406-4718 Ph: (208) 523-5319

Reviews and Comments

Social Worker in Ammon, ID

Ms. Marcia D Roberts, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-529-8832
Paul Bryan Wurtsmith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3754 Briar Creek Ln, Ammon, ID 83406 Phone: 360-831-7425
Stephanie Toldson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3315 E. Chasewood Drive, Ammon, ID 83406 Phone: 208-269-6606
Zachary Brooks, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-523-5319
Ruth Anne Patton, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3317 E Chasewood Dr, Ammon, ID 83406 Phone: 208-538-4040 Fax: 208-538-4140
Eric M Schaat, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3522 Briar Creek Ln, Ammon, ID 83406 Phone: 208-529-1660 Fax: 208-529-1699

Kristy Diane Goodson, - Medicare Clinical Social Worker in Ammon, ID