Lisa A Goldstein, CNM is a medicare enrolled "Advanced Practice Midwife" physician in Charlottesville, Virginia. Her current practice location is
2955 Ivy Rd Ste 104, Charlottesville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 243-4720.
Lisa A Goldstein is licensed to practice in Virginia (license number 0024166206) 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 1861055907.
Physician's Profile
| Full Name | Lisa A Goldstein |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 2955 Ivy Rd Ste 104, Charlottesville, Virginia |
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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: 1861055907
- Provider Enumeration Date: 04/15/2019
- Last Update Date: 09/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224412382
- Enrollment ID: I20240112003449
Medical Identifiers
Medical identifiers for Lisa A Goldstein such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861055907 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 0024166206 (Virginia) | Secondary |
| 367A00000X | Advanced Practice Midwife | 0024166206 (Virginia) | 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. Lisa A Goldstein allows following entities to bill medicare on her behalf.
| Entity Name | Scott Wagner Integrated Medicine Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447875042
PECOS PAC ID: 1153749825
Enrollment ID: O20200911001172 |
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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. Lisa A Goldstein 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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Lisa A Goldstein, CNM
Po Box 749112,
Atlanta, GA 30374-9112
Ph: () - | Lisa A Goldstein, CNM
2955 Ivy Rd Ste 104,
Charlottesville, VA 22903-9353
Ph: (434) 243-4720 |
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