Terry Goodspeed, - Medicare Clinical Social Worker in Independence, KS

Terry Goodspeed, is a medicare enrolled "Social Worker - Clinical" provider in Independence, Kansas. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Four County Mental Health Center, Inc. and his current practice location is 3751 W Main St, Independence, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 331-1748.

Terry Goodspeed is licensed to practice in Kansas (license number 1903) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427150309.

Contact Information

Terry Goodspeed,
3751 W Main St,
Independence, KS 67301-8446
(620) 331-1748
Not Available



Healthcare Provider's Profile

Full NameTerry Goodspeed
GenderMale
SpecialityClinical Social Worker
Experience29 Years
Location3751 W Main St, Independence, Kansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Terry Goodspeed graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1427150309
  • Provider Enumeration Date: 09/02/2006
  • Last Update Date: 12/01/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6406021104
  • Enrollment ID: I20111208000047

Medical Identifiers

Medical identifiers for Terry Goodspeed such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427150309NPI-NPPES
069573OtherKSMEDICARE PTAN
100322170BMedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 1903 (Kansas)Primary
101YA0400XCounselor - Addiction (substance Use Disorder) LCAC 300 (Kansas)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Four County Mental Health Center, Inc.701290407115

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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. Terry Goodspeed allows following entities to bill medicare on his behalf.
Entity NameFour County Mental Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841290251
PECOS PAC ID: 7012904071
Enrollment ID: O20040430000887

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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. Terry Goodspeed 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 AddressPractice Location Address
Terry Goodspeed,
Po Box 688,
Independence, KS 67301-0688

Ph: () -
Terry Goodspeed,
3751 W Main St,
Independence, KS 67301-8446

Ph: (620) 331-1748

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Social Worker in Independence, KS

Mr. Carl L Mitchell Jr., LSCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 220 E. Chestnut, Independence, KS 67301
Phone: 620-331-0057    
Janet West,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1101 Donald Ave, Independence, KS 67301
Phone: 620-331-1748    
Cassie Nicolette Houf, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 3925 Cr 3800, Independence, KS 67301
Phone: 636-359-4385    
Miss Dacia Christine Thiele, LMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 200 Arco Suite 501, Independence, KS 67301
Phone: 620-332-1230    
Yehoshua M. Othniel,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 3751 W Main St, Independence, KS 67301
Phone: 620-331-1748    
Ms. Marie Elaine Ingram, LSCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1101 Donald Ave, Independence, KS 67301
Phone: 620-331-3481    Fax: 620-332-5130

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