Jeremy Adam Goldberg, LICSW in Minneapolis, MN - Medicare Social Worker Provider

Jeremy Adam Goldberg, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Minneapolis, Minnesota. His current practice location is 410 Church St Se, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 624-1444.

Jeremy Adam Goldberg is licensed to practice in Minnesota (license number 18523) 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 1013243708.

Contact Information

	Jeremy Adam Goldberg, LICSW
	410 Church St Se, Minneapolis, MN 55455-0222
	(612) 624-1444
	(612) 624-7155

Map and Direction

Healthcare Provider's Profile

Full Name	Jeremy Adam Goldberg
Gender	Male
Speciality	Social Worker - Clinical
Location	410 Church St Se, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013243708
Provider Enumeration Date: 10/30/2009
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 6204012040
Enrollment ID: I20110512000454

Medical Identifiers

Medical identifiers for Jeremy Adam Goldberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013243708	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	18523 (Minnesota)	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. Jeremy Adam Goldberg allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The University Of Minnesota
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114019858 PECOS PAC ID: 7416856059 Enrollment ID: O20040102000679

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. Jeremy Adam Goldberg 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
Jeremy Adam Goldberg, LICSW 410 Church St Se, Minneapolis, MN 55455-0222 Ph: (612) 624-1444	Jeremy Adam Goldberg, LICSW 410 Church St Se, Minneapolis, MN 55455-0222 Ph: (612) 624-1444

Reviews and Comments

Social Worker in Minneapolis, MN

Mr. Tim D Sullivan, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 229 Ridgewood Ave, Apartment 112, Minneapolis, MN 55403 Phone: 612-600-7169
Catherine Elaine Schacher, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-813-6138
Don Coleman, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2430 Nicollet Ave, Minneapolis, MN 55404 Phone: 612-871-1454 Fax: 612-871-1505
Nathan Foote, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1100 Glenwood Ave, Minneapolis, MN 55405 Phone: 612-871-1454 Fax: 612-871-1505
Seare Shibeshi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2327 E Franklin Ave Ste 3, Minneapolis, MN 55406 Phone: 612-332-9124
Alex Jacob Hoyt, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4027 County Road 25, Minneapolis, MN 55416 Phone: 612-925-6033 Fax: 612-925-8496
Elissa J Allen, LGSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 866-603-0016

Jeremy Adam Goldberg, LICSW - Medicare Clinical Social Worker in Minneapolis, MN