Dr Matthew Ethan Goldenberg, PSY D in Tumwater, WA

Dr Matthew Ethan Goldenberg, PSY D is a medicare enrolled "Psychologist" provider in Tumwater, Washington. His current practice location is 111 Tumwater Blvd Se, Suite 210, Tumwater, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 395-9193.

Dr Matthew Ethan Goldenberg is licensed to practice in Washington (license number PY60416098) 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 1417106675.

Contact Information

	Dr Matthew Ethan Goldenberg, PSY D
	111 Tumwater Blvd Se, Suite 210, Tumwater, WA 98501
	(206) 395-9193
	(360) 464-2720

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Matthew Ethan Goldenberg
Gender	Male
Speciality	Psychologist
Location	111 Tumwater Blvd Se, Tumwater, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417106675
Provider Enumeration Date: 09/12/2008
Last Update Date: 08/19/2021

Medicare PECOS Information:

PECOS PAC ID: 0547488140
Enrollment ID: I20140822001879

Medical Identifiers

Medical identifiers for Dr Matthew Ethan Goldenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417106675	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LH6039598 (Washington)	Secondary
103T00000X	Psychologist	PY60416098 (Washington)	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. Dr Matthew Ethan Goldenberg allows following entities to bill medicare on his behalf.

Entity Name	Seattle Childrens Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003319500 PECOS PAC ID: 9032021050 Enrollment ID: O20031211000532

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. Dr Matthew Ethan Goldenberg 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
Dr Matthew Ethan Goldenberg, PSY D 111 Tumwater Blvd Se, Suite 210, Tumwater, WA 98501 Ph: (206) 395-9193	Dr Matthew Ethan Goldenberg, PSY D 111 Tumwater Blvd Se, Suite 210, Tumwater, WA 98501 Ph: (206) 395-9193

Reviews and Comments

Psychologist in Tumwater, WA

Mrs. Jennifer Lynn Koch, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 111 Tumwater Blvd Se Ste C213, Tumwater, WA 98501 Phone: 360-706-2674 Fax: 360-634-3565
Ms. Loreli Thompson, DOCTOR Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7336 Littlerock Rd Sw, Tumwater, WA 98512 Phone: 360-791-4915
Carla Van Dam, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2620 Rw Johnson Blvd Sw Suite 204, Tumwater, WA 98501 Phone: 360-956-0271
Dr. Mukti Khanna, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 205 Clark Pl Se, Tumwater, WA 98501 Phone: 360-352-4177
Dr. Benjamin Dylan Thomas, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 111 Tumwater Blvd Se Ste C213, Tumwater, WA 98501 Phone: 360-706-2674

Dr Matthew Ethan Goldenberg, PSY D - Medicare Psychologist in Tumwater, WA