Samantha Goldklang, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Wood-ridge, New Jersey. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Seattle Childrens Hospital and her current practice location is
218 Jay St, Wood-ridge, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 280-5232.
Samantha Goldklang is licensed to practice in New York (license number 382612) 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 1003290420.
Provider's Profile
| Full Name | Samantha Goldklang |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 218 Jay St, Wood-ridge, New Jersey |
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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:
- Samantha Goldklang graduated from nursing school in 2016
NPI Data:
- NPI Number: 1003290420
- Provider Enumeration Date: 07/15/2015
- Last Update Date: 05/04/2016
Medicare PECOS Information:
- PECOS PAC ID: 2860770625
- Enrollment ID: I20180808001356
Medical Identifiers
Medical identifiers for Samantha Goldklang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003290420 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0200X | Nurse Practitioner - Pediatrics | 382612 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Seattle Childrens Hospital | 9032021050 | 74 |
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. Samantha Goldklang allows following entities to bill medicare on her behalf.
| Entity Name | The Association Of Chrmc And University Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255449963
PECOS PAC ID: 9133032964
Enrollment ID: O20031107000585 |
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| Entity Name | Seattle Childrens Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003319500
PECOS PAC ID: 9032021050
Enrollment ID: O20031211000532 |
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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. Samantha Goldklang 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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Samantha Goldklang, NP
218 Jay St,
Wood-ridge, NJ 07075
Ph: (201) 280-5232 | Samantha Goldklang, NP
218 Jay St,
Wood-ridge, NJ 07075
Ph: (201) 280-5232 |
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