Dr Mark Goldberg, MD in Willoughby, OH

Dr Mark Goldberg, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Willoughby, Ohio. His current practice location is 36001 Euclid Ave, Suite B-6, Willoughby, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 953-2500.

Dr Mark Goldberg is licensed to practice in Ohio (license number 35-085145) 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 1366498636.

Contact Information

	Dr Mark Goldberg, MD
	36001 Euclid Ave, Suite B-6, Willoughby, OH 44094-4643
	(440) 953-2500
	(440) 953-2772

Map and Direction

Physician's Profile

Full Name	Dr Mark Goldberg
Gender	Male
Speciality	Surgery - Vascular Surgery
Location	36001 Euclid Ave, Willoughby, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366498636
Provider Enumeration Date: 05/26/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4284682261
Enrollment ID: I20150603001941

Medical Identifiers

Medical identifiers for Dr Mark Goldberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366498636	NPI	-	NPPES
2538034	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	35-085145 (Ohio)	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 Mark Goldberg allows following entities to bill medicare on his behalf.

Entity Name	Vascular Institute Of Columbus Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891343315 PECOS PAC ID: 4789916248 Enrollment ID: O20191101001901

Entity Name	Vascular Institute Of Cleveland Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033743240 PECOS PAC ID: 1951731686 Enrollment ID: O20200421002328

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 Mark 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 Mark Goldberg, MD Po Box 74913, Cleveland, OH 44194-0996 Ph: (216) 383-6480	Dr Mark Goldberg, MD 36001 Euclid Ave, Suite B-6, Willoughby, OH 44094-4643 Ph: (440) 953-2500

Reviews and Comments

Surgery Doctors in Willoughby, OH

William J Petraiuolo, MD Surgery Medicare: Medicare Enrolled Practice Location: 36060 Euclid Ave, Suite 204, Willoughby, OH 44094 Phone: 440-602-6553 Fax: 440-602-6566
Jill K. Peysha, Surgery Medicare: Medicare Enrolled Practice Location: 5105 Som Center Rd #107, Willoughby, OH 44094 Phone: 440-953-5712 Fax: 440-953-5713
Aviv Ben-meir, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 36100 Euclid Ave Ste 170, Willoughby, OH 44094 Phone: 440-602-6737 Fax: 440-942-0316
Boris Vinogradsky, MD Surgery Medicare: Medicare Enrolled Practice Location: 36100 Euclid Ave Ste 330b, Willoughby, OH 44094 Phone: 440-953-8055 Fax: 440-953-0242
Dr. Sean Mcphillips, Surgery Medicare: Not Enrolled in Medicare Practice Location: 5734 Amber Ct, Willoughby, OH 44094 Phone: 216-215-8377
Richard Stein, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5105 Som Center Road, Suite 107, Willoughby, OH 44094 Phone: 440-953-5712 Fax: 440-953-5713

Dr Mark Goldberg, MD - Medicare Surgery in Willoughby, OH