Phyllis H Goltra, PHD in Philadelphia, PA - Medicare Psychologist Provider

Phyllis H Goltra, PHD is a medicare enrolled "Psychologist" provider in Philadelphia, Pennsylvania. Her current practice location is 1616 Walnut St, Suite 1616, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 545-8441.

Phyllis H Goltra is licensed to practice in Pennsylvania (license number PS 006504-L) 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 1467446625.

Contact Information

	Phyllis H Goltra, PHD
	1616 Walnut St, Suite 1616, Philadelphia, PA 19103-5313
	(215) 545-8441
	(215) 985-1129

Map and Direction

Healthcare Provider's Profile

Full Name	Phyllis H Goltra
Gender	Female
Speciality	Psychologist
Location	1616 Walnut St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467446625
Provider Enumeration Date: 09/02/2005
Last Update Date: 03/24/2009

Medicare PECOS Information:

PECOS PAC ID: 9830164573
Enrollment ID: I20040827000013

Medical Identifiers

Medical identifiers for Phyllis H Goltra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467446625	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PS 006504-L (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. Phyllis H Goltra allows following entities to bill medicare on her behalf.

Entity Name	Phyllis H. Goltra, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164487500 PECOS PAC ID: 3779639489 Enrollment ID: O20090922000501

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. Phyllis H Goltra 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
Phyllis H Goltra, PHD 1616 Walnut St, Suite 1616, Philadelphia, PA 19103-5313 Ph: (215) 545-8441	Phyllis H Goltra, PHD 1616 Walnut St, Suite 1616, Philadelphia, PA 19103-5313 Ph: (215) 545-8441

Reviews and Comments

Psychologist in Philadelphia, PA

Nancy Allanoff Braveman, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34th Street & Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-7555 Fax: 215-590-7387
Thomas A Bartlett, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1735 Lombard St, Philadelphia, PA 19146 Phone: 215-732-3103 Fax: 215-732-8584
Dr. Michael S. Broder, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1420 Locust St, 7g, Philadelphia, PA 19102 Phone: 215-545-7000 Fax: 215-545-7011
Dr. Melisa English Moore, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34th & Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-7555 Fax: 215-590-7387
Dr. Lisa Marie Boschi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 90 Rochelle Ave, Philadelphia, PA 19128 Phone: 215-508-3300 Fax: 215-508-3210
Jessica Harpel, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 717-332-5114
Dr. Maria Drvoshanov, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1518 Walnut St Ste 607, Philadelphia, PA 19102 Phone: 571-606-9076

Phyllis H Goltra, PHD - Medicare Psychologist in Philadelphia, PA