Samantha Goldklang, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Wood-ridge, New Jersey. Her current practice location is
218 Jay St, Wood-ridge, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 280-5232.
Samantha Goldklang is licensed to practice in New York (license number 382612) 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 1003290420.
Provider's Profile
| Full Name | Samantha Goldklang |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 218 Jay St, Wood-ridge, New Jersey |
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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: 1003290420
- Provider Enumeration Date: 07/15/2015
- Last Update Date: 05/04/2016
Medicare PECOS Information:
- PECOS PAC ID: 2860770625
- Enrollment ID: I20161028001385
Medical Identifiers
Medical identifiers for Samantha Goldklang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003290420 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0200X | Nurse Practitioner - Pediatrics | 382612 (New York) | 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. Samantha Goldklang allows following entities to bill medicare on her behalf.
| Entity Name | Mmc Pediatrics Faculty Practice |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285648154
PECOS PAC ID: 0143406918
Enrollment ID: O20110511000496 |
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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. Samantha Goldklang 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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Samantha Goldklang, NP
218 Jay St,
Wood-ridge, NJ 07075
Ph: (201) 280-5232 | Samantha Goldklang, NP
218 Jay St,
Wood-ridge, NJ 07075
Ph: (201) 280-5232 |
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