Jordan Heifetz Goldberg, PA-C is a medicare enrolled "Physician Assistant" in Pepperell, Massachusetts. His current practice location is
68 Main St, Pepperell, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(978) 433-6317.
Jordan Heifetz Goldberg is licensed to practice in Massachusetts (license number PA6747) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366927543.
Provider's Profile
Full Name | Jordan Heifetz Goldberg |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 68 Main St, Pepperell, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366927543
- Provider Enumeration Date: 10/03/2018
- Last Update Date: 05/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 6002160587
- Enrollment ID: I20181120000982
Medical Identifiers
Medical identifiers for Jordan Heifetz Goldberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366927543 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA6747 (Massachusetts) | 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. Jordan Heifetz Goldberg 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 |
Jordan Heifetz Goldberg, PA-C 75 Francis St, Boston, MA 02115-6110 Ph: (603) 577-7900 | Jordan Heifetz Goldberg, PA-C 68 Main St, Pepperell, MA 01463-1560 Ph: (978) 433-6317 |
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