Dajuana Goodwin, LCPC in Prince Frederick, MD

Dajuana Goodwin, LCPC is a medicare enrolled "Counselor - Mental Health" provider in Prince Frederick, Maryland. Her current practice location is 975 Solomons Island Rd N, Prince Frederick, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 535-5400.

Dajuana Goodwin is licensed to practice in Maryland (license number LC4413) 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 1073870853.

Contact Information

	Dajuana Goodwin, LCPC
	975 Solomons Island Rd N, Prince Frederick, MD 20678-3917
	(410) 535-5400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dajuana Goodwin
Gender	Female
Speciality	Counselor - Mental Health
Location	975 Solomons Island Rd N, Prince Frederick, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073870853
Provider Enumeration Date: 04/18/2012
Last Update Date: 05/20/2019

Medicare PECOS Information:

PECOS PAC ID: 6305297912
Enrollment ID: I20240108006164

Medical Identifiers

Medical identifiers for Dajuana Goodwin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073870853	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	LC4413 (Maryland)	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. Dajuana Goodwin allows following entities to bill medicare on her behalf.

Entity Name	Axis Healthcare Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326295098 PECOS PAC ID: 1254409550 Enrollment ID: O20081013000520

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. Dajuana Goodwin 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
Dajuana Goodwin, LCPC 1203 Addison Ct, Waldorf, MD 20602-1642 Ph: (301) 848-9360	Dajuana Goodwin, LCPC 975 Solomons Island Rd N, Prince Frederick, MD 20678-3917 Ph: (410) 535-5400

Reviews and Comments

Counselor in Prince Frederick, MD

Ann L. Ueno, L.C.P.C. Counselor Medicare: Medicare Enrolled Practice Location: 975 Solomons Island Road, Prince Frederick, MD 20678 Phone: 410-535-5400 Fax: 410-414-9413
Mrs. Patricia Lynn Taylor, CSC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 280 Stafford Rd, Prince Frederick, MD 20678 Phone: 410-535-3079 Fax: 410-535-2220
Mr. Jason Robert Phelan, BA-ADP Counselor Medicare: Not Enrolled in Medicare Practice Location: 975 Solomons Island Rd N, Prince Frederick, MD 20678 Phone: 410-535-3079 Fax: 410-535-2220
Dr. Sheila Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 65 Duke St Ste 203, Prince Frederick, MD 20678 Phone: 443-295-8955
Patricia Cecilia Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 975 Solomons Island Rd N Ste 119, Prince Frederick, MD 20678 Phone: 410-535-5400 Fax: 410-414-9413
Mrs. Terri Lisa Gunkel, CSC-ADP Counselor Medicare: Not Enrolled in Medicare Practice Location: 975 Solomons Island Road N, Prince Frederick, MD 20678 Phone: 410-535-5400 Fax: 410-535-0736
Alison Witmer Thir, PSY.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 134 Main St Ste 202, Prince Frederick, MD 20678 Phone: 301-744-7775

Dajuana Goodwin, LCPC - Medicare Counselor in Prince Frederick, MD