Scott Goldberg, OD,MA,FAAO is a medicare enrolled "Optometrist" provider in Conshohocken, Pennsylvania. His current practice location is
828 Fayette St, Conshohocken, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(610) 828-9701.
Scott Goldberg is licensed to practice in Pennsylvania (license number OEG000367) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720073919.
Healthcare Provider's Profile
Full Name | Scott Goldberg |
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Gender | Male |
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Speciality | Optometrist |
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Location | 828 Fayette St, Conshohocken, Pennsylvania |
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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: 1720073919
- Provider Enumeration Date: 09/14/2005
- Last Update Date: 09/17/2008
Medicare PECOS Information:
- PECOS PAC ID: 9931230828
- Enrollment ID: I20100621000526
Medical Identifiers
Medical identifiers for Scott Goldberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720073919 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | OEG000367 (Pennsylvania) | 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. Scott Goldberg allows following entities to bill medicare on his behalf.
Provider Name | Surgical Eye Care Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1841204757 PECOS PAC ID: 4183523772 Enrollment ID: O20040102000410 |
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Provider Name | Doctor Of Eyeballs Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1467860155 PECOS PAC ID: 9537482757 Enrollment ID: O20141219000809 |
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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. Scott 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 |
Scott Goldberg, OD,MA,FAAO 828 Fayette St, Conshohocken, PA 19428-1709 Ph: (610) 828-9701 | Scott Goldberg, OD,MA,FAAO 828 Fayette St, Conshohocken, PA 19428-1709 Ph: (610) 828-9701 |
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