Dr Jacob B Goldstein, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Gardner, Kansas. He went to Kent State University College Of Podiatric Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Podiatry. His current practice location is
230-c East Main St., Gardner, Kansas. You can reach out to his office (for appointments etc.) via phone at
(913) 856-8150.
Dr Jacob B Goldstein is licensed to practice in Kansas (license number 12-00358KS) 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 1003896374.
Healthcare Provider's Profile
| Full Name | Dr Jacob B Goldstein |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 34 Years |
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| Location | 230-c East Main St., Gardner, Kansas |
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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. |
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Medical Education and Training:
- Dr Jacob B Goldstein attended and graduated from Kent State University College Of Podiatric Medicine in 1990
NPI Data:
- NPI Number: 1003896374
- Provider Enumeration Date: 01/20/2006
- Last Update Date: 10/18/2012
Medicare PECOS Information:
- PECOS PAC ID: 8325011539
- Enrollment ID: I20061016000490
Medical Identifiers
Medical identifiers for Dr Jacob B Goldstein such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003896374 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | MD2185 (New Jersey) | Secondary |
| 213E00000X | Podiatrist | 2006023557 (Missouri) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 12-00358KS (Kansas) | Primary |
Medical Facilities Affiliation
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. Dr Jacob B Goldstein allows following entities to bill medicare on his behalf.
| Provider Name | Jacob B Goldstein Dpm Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1689967119
PECOS PAC ID: 0244408151
Enrollment ID: O20110720000581 |
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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. Dr Jacob B Goldstein 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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Dr Jacob B Goldstein, DPM
230-c East Main Street,
Gardner, KS 66030-1643
Ph: (913) 856-8150 | Dr Jacob B Goldstein, DPM
230-c East Main St.,
Gardner, KS 66030-1643
Ph: (913) 856-8150 |
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