Dr Viviana Ines Goldenberg, MD in Fayetteville, GA

Dr Viviana Ines Goldenberg, MD is a medicare enrolled "Family Medicine" physician in Fayetteville, Georgia. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice The Southeast Permanente Medical Group and her current practice location is 101 Banks Sta, Kaiser Permanente Fayette Medical Center, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 610-3700.

Dr Viviana Ines Goldenberg is licensed to practice in Georgia (license number 065552) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003853847.

Contact Information

	Dr Viviana Ines Goldenberg, MD
	101 Banks Sta, Kaiser Permanente Fayette Medical Center, Fayetteville, GA 30214-7507
	(678) 610-3700
	(770) 631-2415

Map and Direction

Physician's Profile

Full Name	Dr Viviana Ines Goldenberg
Gender	Female
Speciality	Family Practice
Experience	29 Years
Location	101 Banks Sta, Fayetteville, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Viviana Ines Goldenberg graduated from medical school in 1995

NPI Data:

NPI Number: 1003853847
Provider Enumeration Date: 06/01/2006
Last Update Date: 01/10/2022

Medicare PECOS Information:

PECOS PAC ID: 5698773927
Enrollment ID: I20110330000508

Medical Identifiers

Medical identifiers for Dr Viviana Ines Goldenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003853847	NPI	-	NPPES
64124183	Medicaid	KY
003106664A	Medicaid	GA
2691912	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	39544 (Kentucky)	Secondary
207Q00000X	Family Medicine	65552 (Georgia)	Secondary
207Q00000X	Family Medicine	065552 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Southeast Permanente Medical Group	6204829013	576

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 Viviana Ines Goldenberg allows following entities to bill medicare on her behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

Entity Name	Emory Specialty Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447

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 Viviana Ines Goldenberg 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 Viviana Ines Goldenberg, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 364-7070	Dr Viviana Ines Goldenberg, MD 101 Banks Sta, Kaiser Permanente Fayette Medical Center, Fayetteville, GA 30214-7507 Ph: (678) 610-3700

Reviews and Comments

Family Medicine Doctors in Fayetteville, GA

Dr. Frank Alena, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1975 Highway 54 West, Suite 150, Fayetteville, GA 30214 Phone: 770-486-5000 Fax: 404-588-2624
Mr. Derek Collins Ii, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 145 Johnson Ave, Fayetteville, GA 30214 Phone: 912-283-5260
Dr. William Collins, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1975 Highway 54 West, Suite 150, Fayetteville, GA 30214 Phone: 770-486-5000
Dr. William Clint Adcox, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Genevieve Ct Ste A, Fayetteville, GA 30215 Phone: 770-486-1818 Fax: 770-486-7303
Prof. Mukti Bhatia Kanji, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Yorktown Dr, Suite 100, Fayetteville, GA 30214 Phone: 770-460-4285 Fax: 770-460-4319
Altee S Johnson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Yorktown Dr, Suite110, Fayetteville, GA 30214 Phone: 678-364-5400 Fax: 678-364-5399

Dr Viviana Ines Goldenberg, MD - Medicare Family Practice in Fayetteville, GA