Mr Etai Goldenberg, MD - Medicare Urology in St. Louis, MO

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Mr Etai Goldenberg, MD is a medicare enrolled "Urology" physician in St. Louis, Missouri. He went to Wayne State University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Urology. He is a member of the group practice Urology Of St. Louis, Inc, Urology Of St. Louis, Inc and his current practice location is 12855 N. Forty Dr., Ste 375, St. Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 567-6071.

Mr Etai Goldenberg is licensed to practice in Missouri (license number 2013013914) 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 1669663605.

Contact Information

Mr Etai Goldenberg, MD
12855 N. Forty Dr., Ste 375,
St. Louis, MO 63141
(314) 567-6071
Not Available

Map and Direction




Physician's Profile

Full NameMr Etai Goldenberg
GenderMale
SpecialityUrology
Experience17 Years
Location12855 N. Forty Dr., St. Louis, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Etai Goldenberg attended and graduated from Wayne State University School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1669663605
  • Provider Enumeration Date: 08/06/2007
  • Last Update Date: 12/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6901055854
  • Enrollment ID: I20130826000292

Medical Identifiers

Medical identifiers for Mr Etai Goldenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669663605NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 036133097 (Illinois)Secondary
208800000XUrology 2013013914 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Missouri Baptist Medical CenterTown and country, MOHospital
Anderson HospitalMaryville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Urology Of St. Louis, Inc620472378658
Urology Of St. Louis, Inc620472378658

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. Mr Etai Goldenberg allows following entities to bill medicare on his behalf.
Entity NameUrology Of St. Louis, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528017191
PECOS PAC ID: 6204723786
Enrollment ID: O20050629000005

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. Mr Etai 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 AddressPractice Location Address
Mr Etai Goldenberg, MD
12855 N. Forty Dr., Ste 375,
St. Louis, MO 63141

Ph: (314) 567-6071		Mr Etai Goldenberg, MD
12855 N. Forty Dr., Ste 375,
St. Louis, MO 63141

Ph: (314) 567-6071

Reviews and Comments


Urology Doctors in St. Louis, MO

Mrs. Elizabeth Reichert Williams, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 12855 N. Forty Dr., Ste 375, St. Louis, MO 63141
Phone: 314-567-6071    Fax: 314-567-3321

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.