Dr Larry E Goldstein, MD is a medicare enrolled "Urology" provider in Philadelphia, Pennsylvania. His current practice location is
833 Chestnut Street, Suite 703, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 955-1000.
Dr Larry E Goldstein is licensed to practice in Pennsylvania (license number MD015799E) 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 1396764197.
Healthcare Provider's Profile
Full Name | Dr Larry E Goldstein |
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Gender | Male |
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Speciality | Urology |
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Location | 833 Chestnut Street, Philadelphia, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396764197
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 07/08/2014
Medicare PECOS Information:
- PECOS PAC ID: 5193777407
- Enrollment ID: I20050215000716
Medical Identifiers
Medical identifiers for Dr Larry E Goldstein such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396764197 | NPI | - | NPPES |
7901607 | Medicaid | NJ | |
000678427 0008 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | PAK000141 (Pennsylvania) | Secondary |
208800000X | Urology | MD-015799-E (Pennsylvania) | Secondary |
208800000X | Urology | MD015799E (Pennsylvania) | 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 Larry E Goldstein allows following entities to bill medicare on his behalf.
Provider Name | Jefferson University Physicians |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232 |
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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. Dr Larry E Goldstein 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 Larry E Goldstein, MD 833 Chestnut Street, Suite 703, Philadelphia, PA 19107-4414 Ph: (215) 955-1000 | Dr Larry E Goldstein, MD 833 Chestnut Street, Suite 703, Philadelphia, PA 19107-4414 Ph: (215) 955-1000 |
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