Jacob B Goldstein Dpm Llc is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Ottawa, Kansas. Their current practice location is
302 S Main St, Ottawa, Kansas. You can reach out to their office (for appointments etc.) via phone at
(913) 856-8150.
Jacob B Goldstein Dpm Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Jacob B Goldstein Dpm Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1417453168.
Healthcare Provider's Profile
| Full Name | Jacob B Goldstein Dpm Llc |
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| Type | Facility |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 302 S Main St, Ottawa, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417453168
- Provider Enumeration Date: 04/02/2018
- Last Update Date: 06/18/2026
Medicare PECOS Information:
- PECOS PAC ID: 0244408151
- Enrollment ID: O20180427001621
Medical Identifiers
Medical identifiers for Jacob B Goldstein Dpm Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417453168 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| 213ES0131X | Podiatrist - Foot Surgery | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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. Jacob B Goldstein Dpm Llc 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 |
Jacob B Goldstein Dpm Llc 401 S Clairborne Rd Ste 201, Olathe, KS 66062-1735 Ph: (913) 856-8150 | Jacob B Goldstein Dpm Llc 302 S Main St, Ottawa, KS 66067-2332 Ph: (913) 856-8150 |
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