Heather Jean Goldberg, PSYD is a medicare enrolled "Psychologist" provider in Okatie, South Carolina. Her current practice location is
110 Traders Cross, Okatie, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 441-6735.
Heather Jean Goldberg is licensed to practice in New York (license number 019754) 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 1710136122.
Healthcare Provider's Profile
| Full Name | Heather Jean Goldberg |
|---|
| Gender | Female |
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| Speciality | Psychologist |
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| Location | 110 Traders Cross, Okatie, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710136122
- Provider Enumeration Date: 09/10/2008
- Last Update Date: 10/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 7618190026
- Enrollment ID: I20140603000506
Medical Identifiers
Medical identifiers for Heather Jean Goldberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710136122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103T00000X | Psychologist | 1635 (South Carolina) | Secondary |
| 103T00000X | Psychologist | 019754 (New York) | Primary |
| 103T00000X | Psychologist | PSY004398 (Georgia) | 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. Heather Jean 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 Address | Practice Location Address |
Heather Jean Goldberg, PSYD 110 Traders Cross, Okatie, SC 29909-4637 Ph: (843) 441-6735 | Heather Jean Goldberg, PSYD 110 Traders Cross, Okatie, SC 29909-4637 Ph: (843) 441-6735 |
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