Dr Harris S Goldenberg, MD is a medicare enrolled "Surgery" physician in Northbrook, Illinois. His current practice location is
2617 Greenwood Rd, Northbrook, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 530-2226.
Dr Harris S Goldenberg is licensed to practice in Illinois (license number 036043474) 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 1700138146.
Physician's Profile
Full Name | Dr Harris S Goldenberg |
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Gender | Male |
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Speciality | Surgery |
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Location | 2617 Greenwood Rd, Northbrook, Illinois |
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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: 1700138146
- Provider Enumeration Date: 10/09/2012
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 0143534438
- Enrollment ID: I20150730012638
Medical Identifiers
Medical identifiers for Dr Harris S Goldenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700138146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 036043474 (Illinois) | 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 Harris S Goldenberg allows following entities to bill medicare on his behalf.
Entity Name | Ameriwound Physicians Il Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104245893 PECOS PAC ID: 2860616299 Enrollment ID: O20140605000079 |
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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 Harris S Goldenberg 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 Harris S Goldenberg, MD 2617 Greenwood Rd, Northbrook, IL 60062-7622 Ph: (847) 530-2226 | Dr Harris S Goldenberg, MD 2617 Greenwood Rd, Northbrook, IL 60062-7622 Ph: (847) 530-2226 |
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