Ms Sandra D Godfrey, MA, LCPC, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Lewiston, Idaho. Her current practice location is
0309 2nd St, Lewiston, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 746-0137.
Ms Sandra D Godfrey is licensed to practice in California (license number 30314) 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 1093895153.
Healthcare Provider's Profile
| Full Name | Ms Sandra D Godfrey |
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| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 0309 2nd St, Lewiston, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093895153
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0345779781
- Enrollment ID: I20250129002886
Medical Identifiers
Medical identifiers for Ms Sandra D Godfrey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093895153 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | LCPC 3227 (Idaho) | Primary |
| 106H00000X | Marriage & Family Therapist | 30314 (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. Ms Sandra D Godfrey allows following entities to bill medicare on her behalf.
| Entity Name | Sud Specialty Group - Ca |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972138238
PECOS PAC ID: 9537534177
Enrollment ID: O20230412001370 |
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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. Ms Sandra D Godfrey 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 |
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Ms Sandra D Godfrey, MA, LCPC, LMFT
3424 6th St,
Lewiston, ID 83501-5183
Ph: (208) 413-1506 | Ms Sandra D Godfrey, MA, LCPC, LMFT
0309 2nd St,
Lewiston, ID 83501-2163
Ph: (208) 746-0137 |
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