Dr Glenn David Goldman, MD in Colchester, VT

Dr Glenn David Goldman, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Colchester, Vermont. He went to Js Weill Medical College, Cornell University and graduated in 1991 and has 33 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Four Seasons Dermatology Llc and his current practice location is 354 Mountain View Dr Ste 300, Colchester, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 864-0192.

Dr Glenn David Goldman is licensed to practice in Vermont (license number 0420009351) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992717458.

Contact Information

	Dr Glenn David Goldman, MD
	354 Mountain View Dr Ste 300, Colchester, VT 05446-5988
	(802) 864-0192
	(802) 860-4919

Map and Direction

Physician's Profile

Full Name	Dr Glenn David Goldman
Gender	Male
Speciality	Dermatology
Experience	33 Years
Location	354 Mountain View Dr Ste 300, Colchester, Vermont
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Glenn David Goldman attended and graduated from Js Weill Medical College, Cornell University in 1991

NPI Data:

NPI Number: 1992717458
Provider Enumeration Date: 08/13/2006
Last Update Date: 03/05/2024

Medicare PECOS Information:

PECOS PAC ID: 6204889496
Enrollment ID: I20050228000885

Medical Identifiers

Medical identifiers for Dr Glenn David Goldman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992717458	NPI	-	NPPES
0VN1395	Medicaid	VT
01669910	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0101X	Dermatology - Mohs-micrographic Surgery	0420009351 (Vermont)	Primary
207N00000X	Dermatology	0420009351 (Vermont)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Univ. Of Vermont - Fletcher Allen Health Care	Burlington, VT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Four Seasons Dermatology Llc	8820062946	11

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. Dr Glenn David Goldman allows following entities to bill medicare on his behalf.

Entity Name	University Of Vermont Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047

Entity Name	Four Seasons Dermatology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790737393 PECOS PAC ID: 8820062946 Enrollment ID: O20040824001173

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. Dr Glenn David Goldman 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
Dr Glenn David Goldman, MD 358 Chamberlin Ln, Williston, VT 05495-4406 Ph: () -	Dr Glenn David Goldman, MD 354 Mountain View Dr Ste 300, Colchester, VT 05446-5988 Ph: (802) 864-0192

Reviews and Comments

Dermatology Doctors in Colchester, VT

Anita Louise Licata, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 354 Mountain View Dr, Suite 300, Colchester, VT 05446 Phone: 802-864-0192 Fax: 802-860-4919
Ms. Mary B Harkin, N.P. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 354 Mountain View Dr, Suite 300, Colchester, VT 05446 Phone: 802-864-0192 Fax: 802-860-4919

Dr Glenn David Goldman, MD - Medicare Dermatology in Colchester, VT