Jay Ezra Gold, LICSW, LADC - Medicare Counselor in Fridley, MN

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Jay Ezra Gold, LICSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Fridley, Minnesota. current practice location is 520 Osborne Rd Ne, Fridley, Minnesota. You can reach out to office (for appointments etc.) via phone at (763) 236-4579.

Jay Ezra Gold is licensed to practice in Minnesota (license number 13202) and also participates in the medicare program. does not accept medicare assignments directly but may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. NPI Number is 1871316547.

Contact Information

Jay Ezra Gold, LICSW, LADC
520 Osborne Rd Ne,
Fridley, MN 55432-2718
(763) 236-4579
(763) 236-4370

Map and Direction


Healthcare Provider's Profile

Full NameJay Ezra Gold
Gender
SpecialitySocial Worker - Clinical
Location520 Osborne Rd Ne, Fridley, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871316547
  • Provider Enumeration Date: 11/01/2024
  • Last Update Date: 11/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1557896289
  • Enrollment ID: I20241119000492

Medical Identifiers

Medical identifiers for Jay Ezra Gold such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871316547NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 306430 (Minnesota)Secondary
1041C0700XSocial Worker - Clinical 13202 (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. Jay Ezra Gold allows following entities to bill medicare on behalf.
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460

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. Jay Ezra Gold 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
Jay Ezra Gold, LICSW, LADC
520 Osborne Rd Ne,
Fridley, MN 55432-2718

Ph: (763) 236-4579		Jay Ezra Gold, LICSW, LADC
520 Osborne Rd Ne,
Fridley, MN 55432-2718

Ph: (763) 236-4579

Reviews and Comments


Social Worker in Fridley, MN


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.