Dr Glenn I Goldberg, DO is a medicare enrolled "Dermatology" physician in Laguna Beach, California. He went to Philadelphia College Of Osteopathic Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice J Robert West Md Inc and his current practice location is
31852 Coast Hwy, Suite 300, Laguna Beach, California. You can reach out to his office (for appointments etc.) via phone at
(949) 499-1389.
Dr Glenn I Goldberg is licensed to practice in California (license number 20A5649) 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 1760559116.
Physician's Profile
| Full Name | Dr Glenn I Goldberg |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 42 Years |
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| Location | 31852 Coast Hwy, Laguna Beach, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Glenn I Goldberg attended and graduated from Philadelphia College Of Osteopathic Medicine in 1982
NPI Data:
- NPI Number: 1760559116
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 02/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 0143382382
- Enrollment ID: I20081222000361
Medical Identifiers
Medical identifiers for Dr Glenn I Goldberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760559116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 20A5649 (California) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 20A5649 (California) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 20A5649 (California) | Secondary |
| 207N00000X | Dermatology | 20A5649 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| J Robert West Md Inc | 8729990973 | 136 |
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 I Goldberg allows following entities to bill medicare on his behalf.
| Entity Name | J Robert West Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932154788
PECOS PAC ID: 8729990973
Enrollment ID: O20031105000239 |
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| Entity Name | Glenn I. Goldberg, D.o., A Professional Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205051083
PECOS PAC ID: 9133281371
Enrollment ID: O20081222000364 |
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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. Dr Glenn I 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 |
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Dr Glenn I Goldberg, DO
2285 Corporate Cir, Ste 200,
Henderson, NV 89074-7759
Ph: (702) 360-2763 | Dr Glenn I Goldberg, DO
31852 Coast Hwy, Suite 300,
Laguna Beach, CA 92651-6764
Ph: (949) 499-1389 |
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