Ruth Goldbaum, APRN in Avon, CT - Medicare Nurse Practitioner

Ruth Goldbaum, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Avon, Connecticut. Her current practice location is 304 W Main St Ste 2, Avon, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 441-7077.

Ruth Goldbaum is licensed to practice in Connecticut (license number 000683) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588831192.

Contact Information

	Ruth Goldbaum, APRN
	304 W Main St Ste 2, Avon, CT 06001-4355
	(203) 441-7077
	Not Available

Map and Direction

Provider's Profile

Full Name	Ruth Goldbaum
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	304 W Main St Ste 2, Avon, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588831192
Provider Enumeration Date: 05/13/2008
Last Update Date: 01/08/2026

Medicare PECOS Information:

PECOS PAC ID: 1153646427
Enrollment ID: I20150207000212

Medical Identifiers

Medical identifiers for Ruth Goldbaum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588831192	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	000683 (Connecticut)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	000683 (Connecticut)	Primary

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. Ruth Goldbaum allows following entities to bill medicare on her behalf.

Entity Name	Advanced Telepsych Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508456377 PECOS PAC ID: 6800275603 Enrollment ID: O20230106001717

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. Ruth Goldbaum 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
Ruth Goldbaum, APRN 304 W Main St Ste 2, Avon, CT 06001-4355 Ph: (203) 441-7077	Ruth Goldbaum, APRN 304 W Main St Ste 2, Avon, CT 06001-4355 Ph: (203) 441-7077

Reviews and Comments

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Marjorie Arni, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 Waterville Rd, Avon, CT 06001 Phone: 860-674-2691 Fax: 860-677-6443
Mr. David Yarbrough, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 385 W Main St, Avon, CT 06001 Phone: 860-777-1280
Debra Anne Gage, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80 Fisher Drive, Hartford Hospital Cancer Center, Avon, CT 06001 Phone: 860-674-0088

Ruth Goldbaum, APRN - Medicare Nurse Practitioner in Avon, CT