Kenneth Allen Goldberg, MD is a medicare enrolled "Urology" physician in Lewisville, Texas. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 1974 and has 50 years of diverse experience with area of expertise as Urology. He is a member of the group practice University Of Texas Southwestern Medical Center and his current practice location is
541 W Main St Ste 150, Lewisville, Texas. You can reach out to his office (for appointments etc.) via phone at
(972) 420-8500.
Kenneth Allen Goldberg is licensed to practice in Texas (license number F 4843) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598867616.
Physician's Profile
| Full Name | Kenneth Allen Goldberg |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 50 Years |
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| Location | 541 W Main St Ste 150, Lewisville, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kenneth Allen Goldberg attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1974
NPI Data:
- NPI Number: 1598867616
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 04/24/2017
Medicare PECOS Information:
- PECOS PAC ID: 7618987686
- Enrollment ID: I20080815000515
Medical Identifiers
Medical identifiers for Kenneth Allen Goldberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598867616 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | F 4843 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Of Texas Southwestern Medical Center | 0648188250 | 2569 |
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. Kenneth Allen Goldberg allows following entities to bill medicare on his behalf.
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972579365
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792 |
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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. Kenneth Allen 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 |
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Kenneth Allen Goldberg, MD
541 W Main St Ste 150,
Lewisville, TX 75057-3666
Ph: (972) 420-8500 | Kenneth Allen Goldberg, MD
541 W Main St Ste 150,
Lewisville, TX 75057-3666
Ph: (972) 420-8500 |
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