Dr Elizabeth A Goodwin, PSYD in Chantilly, VA - Medicare Psychologist Provider

Dr Elizabeth A Goodwin, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Chantilly, Virginia. Her current practice location is 4410 Brkfld Crprt Dr # 223954, Chantilly, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 380-0703.

Dr Elizabeth A Goodwin is licensed to practice in Virginia (license number 0810005044) 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 1841452034.

Contact Information

	Dr Elizabeth A Goodwin, PSYD
	4410 Brkfld Crprt Dr # 223954, Chantilly, VA 20151-1662
	(703) 380-0703
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Elizabeth A Goodwin
Gender	Female
Speciality	Psychologist - Clinical
Location	4410 Brkfld Crprt Dr # 223954, Chantilly, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841452034
Provider Enumeration Date: 06/27/2008
Last Update Date: 07/07/2021

Medicare PECOS Information:

PECOS PAC ID: 2769887934
Enrollment ID: I20210826000273

Medical Identifiers

Medical identifiers for Dr Elizabeth A Goodwin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841452034	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	016821 (New York)	Secondary
103TC0700X	Psychologist - Clinical	PSY22852 (California)	Secondary
103TC0700X	Psychologist - Clinical	0810005044 (Virginia)	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 Elizabeth A Goodwin allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210331001144

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 Elizabeth A Goodwin 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 Elizabeth A Goodwin, PSYD 4410 Brkfld Crprt Dr # 223954, Chantilly, VA 20151-1662 Ph: (703) 380-0703	Dr Elizabeth A Goodwin, PSYD 4410 Brkfld Crprt Dr # 223954, Chantilly, VA 20151-1662 Ph: (703) 380-0703

Reviews and Comments

Psychologist in Chantilly, VA

Dr. Michael S. Axler, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14110 Robert Paris Ct, Chantilly, VA 20151 Phone: 703-378-7998
Kristi Guadagnoli, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14110 Robert Paris Ct, Chantilly, VA 20151 Phone: 703-378-7998
Dr. Joshua Mark Kefer, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4455 Brookfield Corporate Dr Ste 101, Chantilly, VA 20151 Phone: 703-378-7998 Fax: 703-378-6109
Dr. Rachna Varia, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14110 Robert Paris Ct, Chantilly, VA 20151 Phone: 703-378-7998
Rituma Patel, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14102 Sullyfield Cir Ste 350b, Chantilly, VA 20151 Phone: 571-261-8239
Dr. Anne Heflin, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14110 Robert Paris Ct, Chantilly, VA 20151 Phone: 703-378-7998
Dr. Madhulika Gupta Boland, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14110 Robert Paris Ct, Chantilly, VA 20151 Phone: 703-674-8112

Dr Elizabeth A Goodwin, PSYD - Medicare Psychologist in Chantilly, VA