Dr David J Goodman, PHD in Germantown, WI - Medicare Psychologist Provider

Dr David J Goodman, PHD is a medicare enrolled "Psychologist" provider in Germantown, Wisconsin. His current practice location is W175n11081 Stonewood Dr Ste 212, Germantown, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 244-6177.

Dr David J Goodman is licensed to practice in Wisconsin (license number 2581-057) 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 1649380924.

Contact Information

	Dr David J Goodman, PHD
	W175n11081 Stonewood Dr Ste 212, Germantown, WI 53022-4771
	(262) 244-6177
	(262) 299-3040

Map and Direction

Healthcare Provider's Profile

Full Name	Dr David J Goodman
Gender	Male
Speciality	Psychologist
Location	W175n11081 Stonewood Dr Ste 212, Germantown, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649380924
Provider Enumeration Date: 08/30/2006
Last Update Date: 10/25/2018

Medicare PECOS Information:

PECOS PAC ID: 6103825906
Enrollment ID: I20061205000244

Medical Identifiers

Medical identifiers for Dr David J Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649380924	NPI	-	NPPES
000084137	Other	WI	MEDICARE
39152500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	2581-057 (Wisconsin)	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 David J Goodman allows following entities to bill medicare on his behalf.

Entity Name	Shorehaven Behavioral Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598800740 PECOS PAC ID: 0143324954 Enrollment ID: O20070404000380

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 David J 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
Dr David J Goodman, PHD 1035 W Glen Oaks Ln Ste 110, Mequon, WI 53092-3392 Ph: (262) 244-6178	Dr David J Goodman, PHD W175n11081 Stonewood Dr Ste 212, Germantown, WI 53022-4771 Ph: (262) 244-6177

Reviews and Comments

Psychologist in Germantown, WI

Dr. Darci Shook-woolley, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: W175n11163 Stonewood Dr, Suite 221, Germantown, WI 53022 Phone: 262-257-0500 Fax: 262-257-0602
Angela C Stanley, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: W178n9912 Rivercrest Dr Ste 108, Germantown, WI 53022 Phone: 262-229-5581
Rachel Susan Miller, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: W175n11120 Stonewood Dr, Germantown, WI 53022 Phone: 262-345-5560 Fax: 262-345-5531

Dr David J Goodman, PHD - Medicare Psychologist in Germantown, WI