Dr Hannah Winthrop Fiske Goodrich, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New Haven, Connecticut. Her current practice location is
20 York St, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 688-4242.
Dr Hannah Winthrop Fiske 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 1790352052.
Physician's Profile
| Full Name | Dr Hannah Winthrop Fiske Goodrich |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 20 York St, New Haven, Connecticut |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1790352052
- Provider Enumeration Date: 06/07/2021
- Last Update Date: 05/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 2466852686
- Enrollment ID: I20240510002497
Medical Identifiers
Medical identifiers for Dr Hannah Winthrop Fiske Goodrich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790352052 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | MD19928 (Rhode Island) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | LP05286 (Rhode Island) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Dr Hannah Winthrop Fiske Goodrich allows following entities to bill medicare on her behalf.
| Entity Name | Brown Medicine |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1689626764
PECOS PAC ID: 0446159776
Enrollment ID: O20040219000354 |
|---|
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. Dr Hannah Winthrop Fiske 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 |
|---|
Dr Hannah Winthrop Fiske Goodrich, MD
20 York St,
New Haven, CT 06510-3220
Ph: (203) 688-4242 | Dr Hannah Winthrop Fiske Goodrich, MD
20 York St,
New Haven, CT 06510-3220
Ph: (203) 688-4242 |
Reviews and Comments