Dr Norman J Goldbach, MD is a medicare enrolled "Urology" physician in Wake Forest, North Carolina. His current practice location is
1904 S Main St Ste 114, Wake Forest, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 554-8539.
Dr Norman J Goldbach is licensed to practice in North Carolina (license number 2007-00855) 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 1194706838.
Physician's Profile
| Full Name | Dr Norman J Goldbach |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 1904 S Main St Ste 114, Wake Forest, North Carolina |
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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: 1194706838
- Provider Enumeration Date: 11/09/2005
- Last Update Date: 10/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 9638264047
- Enrollment ID: I20071001000282
Medical Identifiers
Medical identifiers for Dr Norman J Goldbach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194706838 | NPI | - | NPPES |
| 200022490 | Medicaid | IN | |
| 340009455 | Other | IN | TRAVELERS |
| 000000111097 | Other | IN | ANTHEM |
| 0114192 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 35-060154G (Ohio) | Secondary |
| 208800000X | Urology | 01043533A (Indiana) | Secondary |
| 208800000X | Urology | 2007-00855 (North Carolina) | 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 Norman J Goldbach allows following entities to bill medicare on his behalf.
| Entity Name | Associated Urologists Of North Carolina Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568767002
PECOS PAC ID: 9537341268
Enrollment ID: O20110316000668 |
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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 Norman J Goldbach 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 Norman J Goldbach, MD
105 Sw Cary Pkwy Ste 105,
Cary, NC 27511-5600
Ph: (919) 863-9441 | Dr Norman J Goldbach, MD
1904 S Main St Ste 114,
Wake Forest, NC 27587-5030
Ph: (919) 554-8539 |
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