Dr Jessica Gold, MD/PHD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Great Neck, New York. Her current practice location is
225 Community Dr, Great Neck, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 918-4800.
Dr Jessica Gold is licensed to practice in New York (license number 324881) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922412295.
Physician's Profile
| Full Name | Dr Jessica Gold |
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| Gender | Female |
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| Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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| Location | 225 Community Dr, Great Neck, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1922412295
- Provider Enumeration Date: 06/16/2014
- Last Update Date: 11/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830499870
- Enrollment ID: I20220221002058
Medical Identifiers
Medical identifiers for Dr Jessica Gold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922412295 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 125064930 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | MD465406 (Pennsylvania) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | MD465406 (Pennsylvania) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | MT215731 (Pennsylvania) | Secondary |
| 207SG0207X | | 324881 (New York) | Secondary |
| 208000000X | Pediatrics | MD465406 (Pennsylvania) | Secondary |
| 208000000X | Pediatrics | MT215731 (Pennsylvania) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 324881 (New York) | 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 Jessica Gold allows following entities to bill medicare on her behalf.
| Entity Name | Jefferson University Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326093675
PECOS PAC ID: 7911819180
Enrollment ID: O20040225000232 |
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| Entity Name | University Of Penn-medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912014614
PECOS PAC ID: 6204730955
Enrollment ID: O20141209000072 |
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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 Jessica 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 Address | Practice Location Address |
|---|
Dr Jessica Gold, MD/PHD
4627 Cedar Ave,
Philadelphia, PA 19143-2117
Ph: (152) 208-2722 | Dr Jessica Gold, MD/PHD
225 Community Dr,
Great Neck, NY 11021-5503
Ph: (516) 918-4800 |
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