Uri Z Goldberg, DO is a medicare enrolled "Family Medicine" physician in Toledo, Oregon. Her current practice location is
199 W Highway 20, Toledo, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 336-5181.
Uri Z Goldberg is licensed to practice in Oregon (license number DO159256) 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 1902809502.
Physician's Profile
| Full Name | Uri Z Goldberg |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 199 W Highway 20, Toledo, Oregon |
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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: 1902809502
- Provider Enumeration Date: 05/27/2005
- Last Update Date: 11/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 9234190737
- Enrollment ID: I20121116000345
Medical Identifiers
Medical identifiers for Uri Z Goldberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902809502 | NPI | - | NPPES |
| 15929353 | Medicaid | CO | |
| 500650948 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | DO159256 (Oregon) | Primary |
| 207Q00000X | Family Medicine | 41999 (Colorado) | Secondary |
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. Uri Z Goldberg allows following entities to bill medicare on her behalf.
| Entity Name | Samaritan Pacific Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174888010
PECOS PAC ID: 2466353529
Enrollment ID: O20040204000304 |
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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. Uri Z 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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Uri Z Goldberg, DO
Po Box 2847,
Corvallis, OR 97339-2847
Ph: () - | Uri Z Goldberg, DO
199 W Highway 20,
Toledo, OR 97391-1242
Ph: (541) 336-5181 |
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