Jacob Goldberg, in Tampa, FL - Medicare Chiropractor Provider

Jacob Goldberg, is a medicare enrolled "Chiropractor" provider in Tampa, Florida. His current practice location is 11012 N Dale Mabry Hwy Ste 304, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 563-7600.

Jacob Goldberg is licensed to practice in Florida (license number CH13953) 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 1043716459.

Contact Information

	Jacob Goldberg,
	11012 N Dale Mabry Hwy Ste 304, Tampa, FL 33618-3821
	(813) 563-7600
	(813) 563-7601

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Goldberg
Gender	Male
Speciality	Chiropractor
Location	11012 N Dale Mabry Hwy Ste 304, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043716459
Provider Enumeration Date: 04/04/2018
Last Update Date: 08/24/2022

Medicare PECOS Information:

PECOS PAC ID: 5496121493
Enrollment ID: I20221017001399

Medical Identifiers

Medical identifiers for Jacob Goldberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043716459	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	CH13953 (Florida)	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. Jacob Goldberg allows following entities to bill medicare on his behalf.

Provider Name	Redefine Your Spine, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174250070 PECOS PAC ID: 3678949674 Enrollment ID: O20221017001197

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. Jacob 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
Jacob Goldberg, 11012 N Dale Mabry Hwy Ste 304, Tampa, FL 33618-3821 Ph: () -	Jacob Goldberg, 11012 N Dale Mabry Hwy Ste 304, Tampa, FL 33618-3821 Ph: (813) 563-7600

Reviews and Comments

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Jacob Goldberg, - Medicare Chiropractor in Tampa, FL