Jack D Goldstein, MD1208 is a medicare enrolled "Orthopaedic Surgery" physician in E Providence, Rhode Island. His current practice location is
400 Massasoit Ave, Suite 201, E Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 919-5222.
Jack D Goldstein is licensed to practice in Rhode Island (license number RI8073) 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 1245233261.
Physician's Profile
| Full Name | Jack D Goldstein |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 400 Massasoit Ave, E Providence, Rhode Island |
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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. |
Medical Education and Training:
- Jack D Goldstein attended and graduated from in
NPI Data:
- NPI Number: 1245233261
- Provider Enumeration Date: 05/23/2005
- Last Update Date: 11/02/2009
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jack D Goldstein such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1245233261 | NPI | - | NPPES |
| 15131 | Other | RI | NEIGHBORHOOD HEALTH |
| 2432493 | Other | RI | AETNA US HEALTHCARE |
| 779577 | Other | RI | TUFTS |
| 200042974 | Other | RI | RAILROAD MEDICARE |
| 2797369003 | Other | RI | CIGNA |
| 0900689 | Other | PR | UNITED HEALTHCARE |
| 0000022384 | Other | RI | RI BLUE CROSS BLUE SHIELD |
| 202113 | Other | RI | RI BLUE CHIP |
| 9020116 | Medicaid | RI | |
| 61829 | Other | RI | HARVARD PILGRIM HEALTH CA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207X00000X | Orthopaedic Surgery | RI8073 (Rhode Island) | Primary |
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. Jack D Goldstein 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 |
Jack D Goldstein, MD1208 400 Massasoit Ave, Suite 201, E Providence, RI 02914-2012 Ph: (401) 919-5222 | Jack D Goldstein, MD1208 400 Massasoit Ave, Suite 201, E Providence, RI 02914-2012 Ph: (401) 919-5222 |
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