Andrew Daniel Goldberg, MD in Portland, OR - Medicare Emergency Medicine

Andrew Daniel Goldberg, MD is a medicare enrolled "Emergency Medicine" physician in Portland, Oregon. His current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 494-3447.

Andrew Daniel Goldberg is licensed to practice in California (license number A107694) 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 1932405594.

Contact Information

	Andrew Daniel Goldberg, MD
	3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011
	(503) 494-3447
	Not Available

Map and Direction

Physician's Profile

Full Name	Andrew Daniel Goldberg
Gender	Male
Speciality	Emergency Medicine
Location	3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932405594
Provider Enumeration Date: 01/31/2011
Last Update Date: 05/18/2016

Medicare PECOS Information:

PECOS PAC ID: 5597936997
Enrollment ID: I20160610000534

Medical Identifiers

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

Identifier	Type	State	Issuer
1932405594	NPI	-	NPPES
ENROLLED	Medicaid	IA
ENROLLED	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A107694 (California)	Primary
207RC0200X	Internal Medicine - Critical Care Medicine	105731 (Minnesota)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	54427 (Minnesota)	Secondary
207P00000X	Emergency Medicine	MD162199 (Oregon)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	MD162199 (Oregon)	Secondary

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. Andrew Daniel Goldberg allows following entities to bill medicare on his behalf.

Entity Name	Alameda Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740332931 PECOS PAC ID: 3779494521 Enrollment ID: O20031110000764

Entity Name	Washington Township Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346557014 PECOS PAC ID: 2860687050 Enrollment ID: O20101112001225

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. Andrew Daniel 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
Andrew Daniel Goldberg, MD 3801 Miranda Ave, Palo Alto, CA 94304-1207 Ph: (650) 493-5000	Andrew Daniel Goldberg, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-3447

Reviews and Comments

Emergency Medicine Doctors in Portland, OR

Kimberly Lauren Imbesi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8211 Fax: 503-346-8021
Dr. Hani Darwich, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-252-2004
Dr. Robert Thomas Martin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-297-6334 Fax: 503-297-2360
Dr. Jessica Slim, M.D., M.P.H. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7551 Fax: 503-494-4997
Carolyn N Rhett, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1015 Nw 22nd Ave, Portland, OR 97210 Phone: 503-413-7260
Dr. Ross Emery Bryan Iv, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Ohsu Dept Of Emergency Medicine Cdw-em, Portland, OR 97239 Phone: 503-494-1270
Tao Zhu, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Ne Multnomah St, Suite 240, Portland, OR 97232 Phone: 503-413-7711

Andrew Daniel Goldberg, MD - Medicare Emergency Medicine in Portland, OR