Edwin Baker Goodall Iii, PHD in Gilford, NH - Medicare Psychologist Provider

Edwin Baker Goodall Iii, PHD is a medicare enrolled "Psychologist - Clinical" provider in Gilford, New Hampshire. His current practice location is 401 Gilford Ave, Unit 103, Gilford, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 496-7955.

Edwin Baker Goodall Iii is licensed to practice in New Hampshire (license number 196) 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 1134348329.

Contact Information

	Edwin Baker Goodall Iii, PHD
	401 Gilford Ave, Unit 103, Gilford, NH 03249-7500
	(603) 496-7955
	(603) 528-2257

Map and Direction

Healthcare Provider's Profile

Full Name	Edwin Baker Goodall Iii
Gender	Male
Speciality	Psychologist - Clinical
Location	401 Gilford Ave, Gilford, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134348329
Provider Enumeration Date: 04/25/2007
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 5597783415
Enrollment ID: I20051109000055

Medical Identifiers

Medical identifiers for Edwin Baker Goodall Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134348329	NPI	-	NPPES
0602256YONHO1	Other	NH	ANTHEM BCBS
80622256	Medicaid	NH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	196 (New Hampshire)	Primary

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. Edwin Baker Goodall Iii 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
Edwin Baker Goodall Iii, PHD Po Box 134, Center Sandwich, NH 03227-0134 Ph: (603) 284-7174	Edwin Baker Goodall Iii, PHD 401 Gilford Ave, Unit 103, Gilford, NH 03249-7500 Ph: (603) 496-7955

Reviews and Comments

Psychologist in Gilford, NH

Dr. John Anthony Walsh Jr., PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 401 Gilford Ave # 1c, Gilford, NH 03249 Phone: 603-528-2307 Fax: 603-528-2257
Dr. Stephen Jospeh Catalano, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 401 Gilford Ave, Gilford, NH 03249 Phone: 603-524-3116
Dr. Karen P Wayment, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 25 Country Club Rd, Suite 703, Gilford, NH 03249 Phone: 603-528-8581 Fax: 603-528-2176
Dr. Roger Eugene Poire, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 25 Country Club Rd, Gilford, NH 03249 Phone: 603-528-4405 Fax: 603-528-2176
Dr. Robert G Hlasny, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 401 Gilford Ave, Suite 105, Gilford, NH 03249 Phone: 603-528-6106 Fax: 603-528-2257

Edwin Baker Goodall Iii, PHD - Medicare Psychologist in Gilford, NH