Mr Etai Goldenberg, MD is a medicare enrolled "Urology" physician in St. Louis, Missouri. His current practice location is
12855 N. Forty Dr., Ste 375, St. Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at
(314) 567-6071.
Mr Etai Goldenberg is licensed to practice in Missouri (license number 2013013914) 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 1669663605.
Physician's Profile
Full Name | Mr Etai Goldenberg |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 12855 N. Forty Dr., St. Louis, Missouri |
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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. |
Medical Education and Training:
- Mr Etai Goldenberg attended and graduated from in
NPI Data:
- NPI Number: 1669663605
- Provider Enumeration Date: 08/06/2007
- Last Update Date: 12/01/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Etai Goldenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669663605 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 036133097 (Illinois) | Secondary |
208800000X | Urology | 2013013914 (Missouri) | Primary |
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. Mr Etai Goldenberg 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 |
Mr Etai Goldenberg, MD 12855 N. Forty Dr., Ste 375, St. Louis, MO 63141 Ph: (314) 567-6071 | Mr Etai Goldenberg, MD 12855 N. Forty Dr., Ste 375, St. Louis, MO 63141 Ph: (314) 567-6071 |
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