Jared Goldman, PHD in Philadelphia, PA - Medicare Psychologist Provider

Jared Goldman, PHD is a medicare enrolled "Psychologist" provider in Philadelphia, Pennsylvania. His current practice location is 255 S 17th St Ste 2510, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (267) 354-0379.

Jared Goldman is licensed to practice in * (Not Available) (license number ) 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 1528477098.

Contact Information

	Jared Goldman, PHD
	255 S 17th St Ste 2510, Philadelphia, PA 19103-6206
	(267) 354-0379
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jared Goldman
Gender	Male
Speciality	Psychologist
Location	255 S 17th St Ste 2510, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528477098
Provider Enumeration Date: 08/08/2014
Last Update Date: 05/12/2026

Medicare PECOS Information:

PECOS PAC ID: 5597183590
Enrollment ID: I20200908001507

Medical Identifiers

Medical identifiers for Jared Goldman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528477098	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	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. Jared Goldman allows following entities to bill medicare on his behalf.

Entity Name	Tower Drexel Academic Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780227488 PECOS PAC ID: 9335147784 Enrollment ID: O20061117000409

Entity Name	Pottstown Clinic Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649341934 PECOS PAC ID: 6406857184 Enrollment ID: O20070123000573

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. Jared Goldman 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
Jared Goldman, PHD 255 S 17th St Ste 2510, Philadelphia, PA 19103-6206 Ph: (267) 354-0379	Jared Goldman, PHD 255 S 17th St Ste 2510, Philadelphia, PA 19103-6206 Ph: (267) 354-0379

Reviews and Comments

Psychologist in Philadelphia, PA

Nancy Allanoff Braveman, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34th Street & Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-7555 Fax: 215-590-7387
Thomas A Bartlett, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1735 Lombard St, Philadelphia, PA 19146 Phone: 215-732-3103 Fax: 215-732-8584
Dr. Michael S. Broder, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1420 Locust St, 7g, Philadelphia, PA 19102 Phone: 215-545-7000 Fax: 215-545-7011
Dr. Lisa Marie Boschi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 90 Rochelle Ave, Philadelphia, PA 19128 Phone: 215-508-3300 Fax: 215-508-3210
Jessica Harpel, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1601 Walnut St Ste 403, Philadelphia, PA 19102 Phone: 267-875-3688
Dr. Maria Drvoshanov, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1518 Walnut St Ste 607, Philadelphia, PA 19102 Phone: 571-606-9076
Dr. Rebecca M Hammonds, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3500 Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-1000

Jared Goldman, PHD - Medicare Psychologist in Philadelphia, PA