Jillian Goldberg, OTR is a medicare enrolled "Occupational Therapist" provider in New Fairfield, Connecticut. Her current practice location is
100 State Route 37, New Fairfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 312-0211.
Jillian Goldberg is licensed to practice in Connecticut (license number 6511) 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 1063234847.
Healthcare Provider's Profile
Full Name | Jillian Goldberg |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 100 State Route 37, New Fairfield, Connecticut |
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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: 1063234847
- Provider Enumeration Date: 10/31/2024
- Last Update Date: 10/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 4284160789
- Enrollment ID: I20241206002885
Medical Identifiers
Medical identifiers for Jillian Goldberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063234847 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 6511 (Connecticut) | 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. Jillian Goldberg allows following entities to bill medicare on her behalf.
Provider Name | Access Physical Therapy & Wellness Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1659819241 PECOS PAC ID: 8426317595 Enrollment ID: O20180117002504 |
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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. Jillian 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 |
Jillian Goldberg, OTR 16 Maybrook Rd Ste N, Campbell Hall, NY 10916-2741 Ph: () - | Jillian Goldberg, OTR 100 State Route 37, New Fairfield, CT 06812-4024 Ph: (203) 312-0211 |
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