Mr Frank Jacques Van Goethem, MA, LLP, LMSW - Medicare Clinical Social Worker in Alpena, MI

Mr Frank Jacques Van Goethem, MA, LLP, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Alpena, Michigan. His current practice location is 400 Johnson St, Alpena, Michigan. You can reach out to his office (for appointments etc.) via phone at (989) 356-2161.

Mr Frank Jacques Van Goethem is licensed to practice in Michigan (license number 6801067854) 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 1841632361.

Contact Information

Mr Frank Jacques Van Goethem, MA, LLP, LMSW
400 Johnson St,
Alpena, MI 49707
(989) 356-2161
Not Available



Healthcare Provider's Profile

Full NameMr Frank Jacques Van Goethem
GenderMale
SpecialitySocial Worker - Clinical
Location400 Johnson St, Alpena, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841632361
  • Provider Enumeration Date: 07/25/2013
  • Last Update Date: 11/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6305063520
  • Enrollment ID: I20140812002474

Medical Identifiers

Medical identifiers for Mr Frank Jacques Van Goethem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841632361NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 6301007535 (Michigan)Secondary
1041C0700XSocial Worker - Clinical 6801067854 (Michigan)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. Mr Frank Jacques Van Goethem allows following entities to bill medicare on his behalf.
Entity NameNortheast Michigan Community Mental Health Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144378381
PECOS PAC ID: 2264498005
Enrollment ID: O20041203000522

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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. Mr Frank Jacques Van Goethem 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
Mr Frank Jacques Van Goethem, MA, LLP, LMSW
400 Johnson St,
Alpena, MI 49707-1434

Ph: (989) 356-2161
Mr Frank Jacques Van Goethem, MA, LLP, LMSW
400 Johnson St,
Alpena, MI 49707

Ph: (989) 356-2161

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Social Worker in Alpena, MI

Patty Dichtel, LLMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 318 W Fletcher St, Alpena, MI 49707
Phone: 989-884-1165    
Gary L Knudson,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1501 W Chisholm St, Alpena, MI 49707
Phone: 989-356-7390    Fax: 989-356-8013
Amy J Fitzpatrick, LMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 180 N State Ave, Alpena, MI 49707
Phone: 989-497-2500    
Mikayla Elizabeth Paquette,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 400 Johnson St, Alpena, MI 49707
Phone: 989-358-7789    
Patrick Mullen, LMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 400 Johnson St, Alpena, MI 49707
Phone: 989-356-2161    Fax: 989-354-5898
Vincent J Call, LMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 112 S 1st Ave, Alpena, MI 49707
Phone: 989-358-9393    
Renee Luise Diener, LMSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 150 S Ripley Blvd, Alpena, MI 49707
Phone: 989-884-0066    

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