Melanie A Goldberg, CNM is a medicare enrolled "Advanced Practice Midwife" physician in Albuquerque, New Mexico. Her current practice location is
4705 Montgomery Blvd Ne Ste 301, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 727-4500.
Melanie A Goldberg is licensed to practice in New Mexico (license number 871) 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 1619731668.
Physician's Profile
Full Name | Melanie A Goldberg |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 4705 Montgomery Blvd Ne Ste 301, Albuquerque, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619731668
- Provider Enumeration Date: 02/09/2024
- Last Update Date: 02/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951746197
- Enrollment ID: I20240228000828
Medical Identifiers
Medical identifiers for Melanie A Goldberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619731668 | NPI | - | NPPES |
871 | Other | NM | CNM LICENSE # 871 |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | CNM08859 (New Mexico) | Secondary |
367A00000X | Advanced Practice Midwife | 871 (New Mexico) | 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. Melanie A Goldberg allows following entities to bill medicare on her behalf.
Entity Name | Southwest Medical Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164491072 PECOS PAC ID: 7214831114 Enrollment ID: O20031121000724 |
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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. Melanie A 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 |
Melanie A Goldberg, CNM 4705 Montgomery Blvd Ne Ste 301, Albuquerque, NM 87109-1234 Ph: (505) 727-4500 | Melanie A Goldberg, CNM 4705 Montgomery Blvd Ne Ste 301, Albuquerque, NM 87109-1234 Ph: (505) 727-4500 |
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