Gary Michael Goldetsky, - Medicare Psychologist in Minneapolis, MN

Gary Michael Goldetsky, is a medicare enrolled "Psychologist - Rehabilitation" provider in Minneapolis, Minnesota. He graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Access Healthcare Services Llc and his current practice location is 515 Delaware St Se, Tmd Clinic, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 626-6529.

Gary Michael Goldetsky is licensed to practice in Minnesota (license number LPO 508) 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 1124129382.

Contact Information

Gary Michael Goldetsky,
515 Delaware St Se, Tmd Clinic,
Minneapolis, MN 55455-0357
(612) 626-6529
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameGary Michael Goldetsky
GenderMale
SpecialityClinical Psychologist
Experience40 Years
Location515 Delaware St Se, Minneapolis, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gary Michael Goldetsky graduated from medical school in 1984
  NPI Data:
  • NPI Number: 1124129382
  • Provider Enumeration Date: 09/26/2006
  • Last Update Date: 08/14/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5799840302
  • Enrollment ID: I20090216000189

Medical Identifiers

Medical identifiers for Gary Michael Goldetsky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124129382NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TR0400XPsychologist - Rehabilitation LPO 508 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Access Healthcare Services Llc29617820402

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. Gary Michael Goldetsky allows following entities to bill medicare on his behalf.
Entity NameOn Call Clinicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700217296
PECOS PAC ID: 3678471901
Enrollment ID: O20140123000530
Entity NameAccess Healthcare Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972057644
PECOS PAC ID: 2961782040
Enrollment ID: O20161207000421

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. Gary Michael Goldetsky 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 AddressPractice Location Address
Gary Michael Goldetsky,
515 Delaware St Se, Tmd Clinic,
Minneapolis, MN 55455-0357

Ph: () -
Gary Michael Goldetsky,
515 Delaware St Se, Tmd Clinic,
Minneapolis, MN 55455-0357

Ph: (612) 626-6529

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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