Miss Staci Lyn Gofton, LMSW in Allegan, MI - Medicare Clinical Social Worker Provider

Miss Staci Lyn Gofton, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Allegan, Michigan. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Allegan County Community Mental Health Services and her current practice location is 3285 122nd Ave, Allegan, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 673-6617.

Miss Staci Lyn Gofton is licensed to practice in Michigan (license number 6801085687) 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 1770654360.

Contact Information

	Miss Staci Lyn Gofton, LMSW
	3285 122nd Ave, Allegan, MI 49010-9511
	(269) 673-6617
	(269) 673-2738

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Staci Lyn Gofton
Gender	Female
Speciality	Clinical Social Worker
Experience	22 Years
Location	3285 122nd Ave, Allegan, Michigan
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:

Miss Staci Lyn Gofton graduated from medical school in 2002

NPI Data:

NPI Number: 1770654360
Provider Enumeration Date: 11/13/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3971523549
Enrollment ID: I20051128000516

Medical Identifiers

Medical identifiers for Miss Staci Lyn Gofton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770654360	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801085687 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Allegan County Community Mental Health Services	1153317607	9

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. Miss Staci Lyn Gofton allows following entities to bill medicare on her behalf.

Entity Name	Allegan County Community Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215989231 PECOS PAC ID: 1153317607 Enrollment ID: O20040421001240

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. Miss Staci Lyn Gofton 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
Miss Staci Lyn Gofton, LMSW 560 Parkside Ave Nw, Grand Rapids, MI 49534-3411 Ph: () -	Miss Staci Lyn Gofton, LMSW 3285 122nd Ave, Allegan, MI 49010-9511 Ph: (269) 673-6617

Reviews and Comments

Social Worker in Allegan, MI

Mr. David M Green, MA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 327 Hubbard St, Allegan, MI 49010 Phone: 269-673-1929 Fax: 269-686-0373
Ms. Janice Marie Zwaanstra, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 217 Hubbard St, Allegan, MI 49010 Phone: 269-673-1896
Mrs. Kimberly Thomas, LLMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3285 122nd Ave, Allegan, MI 49010 Phone: 269-355-2068
Savannah Storey, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3283 122nd Ave, Allegan, MI 49010 Phone: 269-512-4395
Patrick Hoekstra, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 221 Trowbridge St, Allegan, MI 49010 Phone: 616-648-4411
Kathryne Boerman, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 213 Hubbard St, Allegan, MI 49010 Phone: 269-673-1896
Mrs. Jennifer Renee Hudson, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 551 Linn St Ste 230, Allegan, MI 49010 Phone: 269-686-4110

Miss Staci Lyn Gofton, LMSW - Medicare Clinical Social Worker in Allegan, MI