Samantha Leigh Goodrich, BA in Sisters, OR - Medicare Counselor Provider

Samantha Leigh Goodrich, BA is a medicare enrolled "Counselor - Mental Health" provider in Sisters, Oregon. Her current practice location is 630 N Arrowleaf Trl, Sisters, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 549-1318.

Samantha Leigh Goodrich is licensed to practice in * (Not Available) (license number ) 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 1285009324.

Contact Information

	Samantha Leigh Goodrich, BA
	630 N Arrowleaf Trl, Sisters, OR 97759-2610
	(541) 549-1318
	(541) 588-6002

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Leigh Goodrich
Gender	Female
Speciality	Counselor - Mental Health
Location	630 N Arrowleaf Trl, Sisters, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285009324
Provider Enumeration Date: 12/01/2015
Last Update Date: 08/02/2023

Medicare PECOS Information:

PECOS PAC ID: 0840655221
Enrollment ID: I20230509000624

Medical Identifiers

Medical identifiers for Samantha Leigh Goodrich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285009324	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Samantha Leigh Goodrich allows following entities to bill medicare on her behalf.

Entity Name	St Charles Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982621447 PECOS PAC ID: 3870402852 Enrollment ID: O20040112000045

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. Samantha Leigh Goodrich 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
Samantha Leigh Goodrich, BA 20370 Poe Sholes Dr, Bend, OR 97703-7938 Ph: (541) 318-1377	Samantha Leigh Goodrich, BA 630 N Arrowleaf Trl, Sisters, OR 97759-2610 Ph: (541) 549-1318

Reviews and Comments

Counselor in Sisters, OR

Brittney Dane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 704 W Hood Ave Ste D, Sisters, OR 97759 Phone: 541-640-9310 Fax: 360-326-1978
Sarah Rosenberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 704 W Hood Ave Ste D, Sisters, OR 97759 Phone: 541-640-9310 Fax: 360-326-1978
Ms. Jeri Roberta Finn, MA STUDENT INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 704 W Hood Ave Ste D, Sisters, OR 97759 Phone: 541-640-9310
Marjean Gutzman Bigelow, MASTERSSTUDENTINTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 704 W Hood Ave Ste D, Sisters, OR 97759 Phone: 541-640-9310 Fax: 360-326-1978
Madison Paige Cameron, Counselor Medicare: Not Enrolled in Medicare Practice Location: 704 W Hood Ave Ste D, Sisters, OR 97759 Phone: 541-640-9310
Fiona Elise Richmond, QMHP CSWA Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 N Reed St., Sisters, OR 97759 Phone: 541-322-7500
Dr. Kelly Ann Davis-martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 S Oak St, Sisters, OR 97759 Phone: 541-595-8682

Samantha Leigh Goodrich, BA - Medicare Counselor in Sisters, OR