Travis Goodman, MS, LMFT in Newport Beach, CA - Medicare Marriage & Family Therapist Provider

Travis Goodman, MS, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Newport Beach, California. His current practice location is 4060 Campus Dr, Suite #110, Newport Beach, California. You can reach out to his office (for appointments etc.) via phone at (949) 282-4764.

Travis Goodman is licensed to practice in California (license number 96857) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417370255.

Contact Information

	Travis Goodman, MS, LMFT
	4060 Campus Dr, Suite #110, Newport Beach, CA 92660-2217
	(949) 282-4764
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Travis Goodman
Gender	Male
Speciality	Marriage & Family Therapist
Location	4060 Campus Dr, Newport Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417370255
Provider Enumeration Date: 01/30/2014
Last Update Date: 11/18/2016

Medicare PECOS Information:

PECOS PAC ID: 4688111206
Enrollment ID: I20240731004781

Medical Identifiers

Medical identifiers for Travis Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417370255	NPI	-	NPPES
96857	Other	CA	BBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	96857 (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. Travis Goodman allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Travis Goodman 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
Travis Goodman, MS, LMFT 4060 Campus Dr, Suite #110, Newport Beach, CA 92660-2217 Ph: (949) 282-4764	Travis Goodman, MS, LMFT 4060 Campus Dr, Suite #110, Newport Beach, CA 92660-2217 Ph: (949) 282-4764

Reviews and Comments

Marriage & Family Therapist in Newport Beach, CA

Leilani Jane Carinio, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1151 Dove St Ste 245, Newport Beach, CA 92660 Phone: 714-585-9447
Ms. Jacqueline Islas, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1151 Dove St Ste 140, Newport Beach, CA 92660 Phone: 949-630-5006
Michelle Hobson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2 Corporate Plaza Dr, Newport Beach, CA 92660 Phone: 949-386-2656
Daniella E Leon, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4000 Macarthur Blvd, Newport Beach, CA 92660 Phone: 424-999-5798
Rosemarie Dahlstrom, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1000 Quail St Ste 155, Newport Beach, CA 92660 Phone: 949-777-6694
Mrs. Joanne Meyerson, MARRIAGE AND FAMILY Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1400 Quail Street, # 235, Newport Beach, CA 92660 Phone: 949-559-6600 Fax: 949-559-4909
Dr. Jennifer Amanda Flowers, PSY. D., MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1000 Quail St Ste 275, Newport Beach, CA 92660 Phone: 949-863-9031 Fax: 949-863-3132

Travis Goodman, MS, LMFT - Medicare Couples Therapy in Newport Beach, CA