Gina Mischele Goodrich, PSYD in Richmond, CA - Medicare Psychologist Provider

Gina Mischele Goodrich, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Richmond, California. Her current practice location is 3150 Hilltop Mall Rd # 12, Richmond, California. You can reach out to her office (for appointments etc.) via phone at (510) 757-4669.

Gina Mischele Goodrich is licensed to practice in California (license number PSY18080) 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 1487743522.

Contact Information

	Gina Mischele Goodrich, PSYD
	3150 Hilltop Mall Rd # 12, Richmond, CA 94806-1921
	(510) 757-4669
	(510) 222-2540

Healthcare Provider's Profile

Full Name	Gina Mischele Goodrich
Gender	Female
Speciality	Psychologist - Clinical
Location	3150 Hilltop Mall Rd # 12, Richmond, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487743522
Provider Enumeration Date: 10/12/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5395116644
Enrollment ID: I20230124001374

Medical Identifiers

Medical identifiers for Gina Mischele Goodrich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487743522	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY18080 (California)	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. Gina Mischele Goodrich 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
Gina Mischele Goodrich, PSYD 3150 Hilltop Mall Rd # 12, Richmond, CA 94806-1921 Ph: (510) 757-4669	Gina Mischele Goodrich, PSYD 3150 Hilltop Mall Rd # 12, Richmond, CA 94806-1921 Ph: (510) 757-4669

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Gina Mischele Goodrich, PSYD - Medicare Psychologist in Richmond, CA