Tyler Goldberg, - Medicare Physician Assistant in Glen Burnie, MD

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Tyler Goldberg, is a medicare enrolled "Physician Assistant - Medical" in Glen Burnie, Maryland. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice University Of Maryland Community Medical Group Inc and his current practice location is 301 Hospital Dr, Glen Burnie, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 787-4000.

Tyler Goldberg is licensed to practice in * (Not Available) (license number ) 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 1104389345.

Contact Information

Tyler Goldberg,
301 Hospital Dr,
Glen Burnie, MD 21061-5803
(410) 787-4000
Not Available

Map and Direction




Provider's Profile

Full NameTyler Goldberg
GenderMale
SpecialityPhysician Assistant
Experience7 Years
Location301 Hospital Dr, Glen Burnie, Maryland
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:
  • Tyler Goldberg graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1104389345
  • Provider Enumeration Date: 04/12/2019
  • Last Update Date: 04/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5496085011
  • Enrollment ID: I20190925000938

Medical Identifiers

Medical identifiers for Tyler Goldberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104389345NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Umd Baltimore Washington Medical CenterGlen burnie, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Maryland Community Medical Group Inc3678472214446

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. Tyler Goldberg allows following entities to bill medicare on his behalf.
Entity NameUniversity of Maryland Community Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477530624
PECOS PAC ID: 3678472214
Enrollment ID: O20040102000687
Entity NameSt Agnes Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144250176
PECOS PAC ID: 9830092733
Enrollment ID: O20040128001146
Entity NameLifebridge Community Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174815807
PECOS PAC ID: 3678751468
Enrollment ID: O20110627000318
Entity NameUniversity of Maryland St Joseph Medical Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770836785
PECOS PAC ID: 4880846179
Enrollment ID: O20121213000234
Entity NameMedstar Medical Group II LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184046187
PECOS PAC ID: 0547413825
Enrollment ID: O20130117000347

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. Tyler 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 AddressPractice Location Address
Tyler Goldberg,
11700 Woodland Dr,
Lutherville Timonium, MD 21093-1519

Ph: (443) 415-7445		Tyler Goldberg,
301 Hospital Dr,
Glen Burnie, MD 21061-5803

Ph: (410) 787-4000

Reviews and Comments


Physician Assistant Nurses in Glen Burnie, MD

Rebekah Chen, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7671 Quarterfield Rd Ste 200a, Glen Burnie, MD 21061
Phone: 443-351-3376    Fax: 410-582-9155
Mr. Brian Roeder, P.A.-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 301 Hospital Dr, Suite 803, Glen Burnie, MD 21061
Phone: 410-553-8160    Fax: 410-553-8159
Danielle Dayton Holloway, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 301 Hospital Dr, Emergency Department, Glen Burnie, MD 21061
Phone: 410-787-4565    
Mr. Reyadh David Al-banna, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 301 Hospital Dr, Suite 802, Glen Burnie, MD 21061
Phone: 410-553-8290    Fax: 410-553-8288
Stefanie R Coles, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7116 Ritchie Hwy, Glen Burnie, MD 21061
Phone: 443-577-0277    
Mr. Manuel Skow, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7711 Quarterfield Rd, Suite A, Glen Burnie, MD 21061
Phone: 410-761-5560    Fax: 410-761-5734
Sylvia Brandenberg, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061
Phone: 410-787-4000    

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.