Mr Michael R Goldberg, LMHC in Lakeland, FL - Medicare Counselor Provider

Mr Michael R Goldberg, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Lakeland, Florida. His current practice location is 2320 Commerce Point Dr, Lakeland, Florida. You can reach out to his office (for appointments etc.) via phone at (863) 877-1855.

Mr Michael R Goldberg is licensed to practice in Illinois (license number 180003519) 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 1487616934.

Contact Information

	Mr Michael R Goldberg, LMHC
	2320 Commerce Point Dr, Lakeland, FL 33801-6880
	(863) 877-1855
	(863) 646-6111

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Michael R Goldberg
Gender	Male
Speciality	Counselor - Mental Health
Location	2320 Commerce Point Dr, Lakeland, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487616934
Provider Enumeration Date: 04/03/2006
Last Update Date: 11/20/2024

Medicare PECOS Information:

PECOS PAC ID: 8628501525
Enrollment ID: I20250130000701

Medical Identifiers

Medical identifiers for Mr Michael R Goldberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487616934	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	180003519 (Illinois)	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. Mr Michael R Goldberg allows following entities to bill medicare on his behalf.

Entity Name	Kevin M. Kindelan, Ph.d. And Associates, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780951517 PECOS PAC ID: 5597917450 Enrollment ID: O20121129000149

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. Mr Michael R 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
Mr Michael R Goldberg, LMHC 2320 Commerce Point Dr, Lakeland, FL 33801-6880 Ph: (863) 877-1855	Mr Michael R Goldberg, LMHC 2320 Commerce Point Dr, Lakeland, FL 33801-6880 Ph: (863) 877-1855

Reviews and Comments

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Mr Michael R Goldberg, LMHC - Medicare Counselor in Lakeland, FL