Stephanie Michelle Goodman, DO is a medicare enrolled "Speech-language Pathologist" physician in Bronx, New York. Her current practice location is
4525 Henry Hudson Pkwy, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at
(646) 530-4456.
Stephanie Michelle Goodman is licensed to practice in New York (license number 031586-01) 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 1750535241.
Physician's Profile
| Full Name | Stephanie Michelle Goodman |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 4525 Henry Hudson Pkwy, Bronx, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750535241
- Provider Enumeration Date: 11/10/2008
- Last Update Date: 09/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 3072647866
- Enrollment ID: I20100816000622
Medical Identifiers
Medical identifiers for Stephanie Michelle Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1750535241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 2506781 (New York) | Secondary |
| 235Z00000X | Speech-language Pathologist | 031586-01 (New York) | 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. Stephanie Michelle Goodman allows following entities to bill medicare on her behalf.
| Entity Name | Bimc Faculty Practice |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548594203 PECOS PAC ID: 5799888392 Enrollment ID: O20070320000596 |
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| Entity Name | White Plains Hospital Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609174937 PECOS PAC ID: 4981593092 Enrollment ID: O20110505000065 |
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| Entity Name | White Plains Hospital Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174994149 PECOS PAC ID: 4981593092 Enrollment ID: O20160506000777 |
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| Entity Name | White Plains Hospital Medical Center |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1992255392 PECOS PAC ID: 4981593092 Enrollment ID: O20161219001743 |
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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. Stephanie Michelle 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 |
Stephanie Michelle Goodman, DO 4525 Henry Hudson Pkwy Apt 506, Bronx, NY 10471-3816 Ph: (646) 530-4456 | Stephanie Michelle Goodman, DO 4525 Henry Hudson Pkwy, Bronx, NY 10471-3808 Ph: (646) 530-4456 |
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