Ms Amy Goldweber, is a medicare enrolled "Dietitian, Registered" provider in Tarboro, North Carolina. Her current practice location is
415 Wayne Ave, Tarboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(617) 833-0028.
Ms Amy Goldweber is licensed to practice in North Carolina (license number L005572) 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 1124415450.
Healthcare Provider's Profile
| Full Name | Ms Amy Goldweber |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 415 Wayne Ave, Tarboro, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124415450
- Provider Enumeration Date: 04/24/2015
- Last Update Date: 04/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 2567783749
- Enrollment ID: I20250312002219
Medical Identifiers
Medical identifiers for Ms Amy Goldweber such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124415450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 127969 (Iowa) | Secondary |
| 133V00000X | Dietitian, Registered | DT90700 (Texas) | Secondary |
| 133V00000X | Dietitian, Registered | 5809-29 (Wisconsin) | Secondary |
| 133V00000X | Dietitian, Registered | LD007281 (Georgia) | Secondary |
| 133V00000X | Dietitian, Registered | L005572 (North Carolina) | 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. Ms Amy Goldweber allows following entities to bill medicare on her behalf.
| Provider Name | Surely Health Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1053078360
PECOS PAC ID: 3072960491
Enrollment ID: O20240320003425 |
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| Provider Name | Season Clinical Care P.a. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1649933565
PECOS PAC ID: 4688015050
Enrollment ID: O20250109003415 |
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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. Ms Amy Goldweber 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 |
|---|
Ms Amy Goldweber,
415 Wayne Ave,
Tarboro, NC 27886-2233
Ph: (617) 833-0028 | Ms Amy Goldweber,
415 Wayne Ave,
Tarboro, NC 27886-2233
Ph: (617) 833-0028 |
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