Jay Ezra Gold, LICSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Edina, Minnesota. graduated from healthcare school in 2022 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. is a member of the group practice Cabot Psychological Services, Pllc and current practice location is
7301 Ohms Ln Ste 450, Edina, Minnesota. You can reach out to office (for appointments etc.) via phone at
(612) 605-8820.
Jay Ezra Gold is licensed to practice in Minnesota (license number 13202) and also participates in the medicare program.
may accept medicare assignments (which means may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and NPI Number is 1871316547.
Healthcare Provider's Profile
| Full Name | Jay Ezra Gold |
|---|
| Gender | |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 4 Years |
|---|
| Location | 7301 Ohms Ln Ste 450, Edina, Minnesota |
|---|
| Accepts Medicare Assignments | May be. may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Jay Ezra Gold graduated from medical school in 2022
NPI Data:
- NPI Number: 1871316547
- Provider Enumeration Date: 11/01/2024
- Last Update Date: 07/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 1557896289
- Enrollment ID: I20241119000492
Medical Identifiers
Medical identifiers for Jay Ezra Gold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871316547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 306430 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 13202 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cabot Psychological Services, Pllc | 9739203167 | 13 |
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. Jay Ezra Gold allows following entities to bill medicare on behalf.
| Entity Name | Allina Health System |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460 |
|---|
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. Jay Ezra Gold 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 |
|---|
Jay Ezra Gold, LICSW, LADC
7301 Ohms Ln Ste 450,
Edina, MN 55439-2339
Ph: (612) 605-8820 | Jay Ezra Gold, LICSW, LADC
7301 Ohms Ln Ste 450,
Edina, MN 55439-2339
Ph: (612) 605-8820 |
Reviews and Comments