Nicole Golbari, is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Port Jefferson, New York. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice New York University and her current practice location is
75 N Country Rd, Port Jefferson, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 686-2517.
Nicole Golbari is licensed to practice in New York (license number 333046) 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 1255891016.
Physician's Profile
| Full Name | Nicole Golbari |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 7 Years |
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| Location | 75 N Country Rd, Port Jefferson, New York |
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| Accepts Medicare Assignments | Yes. She 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:
- Nicole Golbari graduated from medical school in 2019
NPI Data:
- NPI Number: 1255891016
- Provider Enumeration Date: 03/20/2019
- Last Update Date: 01/16/2026
Medicare PECOS Information:
- PECOS PAC ID: 7810225687
- Enrollment ID: I20241216000674
Medical Identifiers
Medical identifiers for Nicole Golbari such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255891016 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 333046 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 333046 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| New York University | 1355232422 | 5027 |
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. Nicole Golbari allows following entities to bill medicare on her behalf.
| Entity Name | New York University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20081202000185 |
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| Entity Name | New York University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20090822000026 |
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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. Nicole Golbari 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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Nicole Golbari,
75 N Country Rd,
Port Jefferson, NY 11777-2119
Ph: () - | Nicole Golbari,
75 N Country Rd,
Port Jefferson, NY 11777-2119
Ph: (631) 686-2517 |
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