Dr Jason Goldberg, MD is a medicare enrolled "Ophthalmology - Cornea And External Diseases Specialist" physician in Hampton, Virginia. His current practice location is
100 Emancipation Dr, Hampton, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 722-9961.
Dr Jason Goldberg is licensed to practice in Virginia (license number 0101271206) 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 1093161655.
Physician's Profile
Full Name | Dr Jason Goldberg |
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Gender | Male |
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Speciality | Ophthalmology - Cornea And External Diseases Specialist |
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Location | 100 Emancipation Dr, Hampton, Virginia |
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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: 1093161655
- Provider Enumeration Date: 05/12/2016
- Last Update Date: 06/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 8628356656
- Enrollment ID: I20200508002187
Medical Identifiers
Medical identifiers for Dr Jason Goldberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093161655 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207WX0120X | Ophthalmology - Cornea And External Diseases Specialist | 0101271206 (Virginia) | Primary |
207WX0120X | Ophthalmology - Cornea And External Diseases Specialist | 67035 (Minnesota) | Secondary |
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 Jason Goldberg allows following entities to bill medicare on his behalf.
Entity Name | University Of Minnesota Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
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Entity Name | Fairview Express Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
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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 Jason 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 |
Dr Jason Goldberg, MD 100 Emancipation Dr, Hampton, VA 23667-0001 Ph: (757) 722-9961 | Dr Jason Goldberg, MD 100 Emancipation Dr, Hampton, VA 23667-0001 Ph: (757) 722-9961 |
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