Jack D Goldstein, MD1208 is a medicare enrolled "Orthopaedic Surgery" physician in E Providence, Rhode Island. He went to University Of California, Davis School Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Sports Medicine Orthopaedics And Podiatry Inc, Sports Medicine Orthopaedics And Podiatry Inc and 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 | Orthopedic Surgery |
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| Experience | 42 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. |
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Medical Education and Training:
- Jack D Goldstein attended and graduated from University Of California, Davis School Of Medicine in 1982
NPI Data:
- NPI Number: 1245233261
- Provider Enumeration Date: 05/23/2005
- Last Update Date: 11/02/2009
Medicare PECOS Information:
- PECOS PAC ID: 3274427414
- Enrollment ID: I20040210000392
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sports Medicine Orthopaedics And Podiatry Inc | 7214821032 | 2 |
| Sports Medicine Orthopaedics And Podiatry Inc | 7214821032 | 2 |
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. Jack D Goldstein allows following entities to bill medicare on his behalf.
| Entity Name | Sports Medicine Orthopaedics & Podiatry Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407034994
PECOS PAC ID: 7214821032
Enrollment ID: O20080422000552 |
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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. 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 |
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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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