Rachel Goldman Dale, PSYD in Passaic, NJ - Medicare Psychologist Provider

Rachel Goldman Dale, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Passaic, New Jersey. Her current practice location is 110 Main Ave, Passaic, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 777-7638.

Rachel Goldman Dale is licensed to practice in New Jersey (license number 35SI00665100) 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 1568779932.

Contact Information

	Rachel Goldman Dale, PSYD
	110 Main Ave, Passaic, NJ 07055-4427
	(973) 777-7638
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Rachel Goldman Dale
Gender	Female
Speciality	Psychologist - Clinical
Location	110 Main Ave, Passaic, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568779932
Provider Enumeration Date: 09/08/2010
Last Update Date: 01/18/2023

Medicare PECOS Information:

PECOS PAC ID: 4880023415
Enrollment ID: I20220728000922

Medical Identifiers

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

Identifier	Type	State	Issuer
1568779932	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	35SI00665100 (New Jersey)	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. Rachel Goldman Dale allows following entities to bill medicare on her behalf.

Entity Name	Jewish Family Service & Childrens Center Of Clifton-passaic, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073885026 PECOS PAC ID: 3678749223 Enrollment ID: O20120103000126

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. Rachel Goldman Dale 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
Rachel Goldman Dale, PSYD 340 Aycrigg Ave, Passaic, NJ 07055-3714 Ph: (781) 254-0417	Rachel Goldman Dale, PSYD 110 Main Ave, Passaic, NJ 07055-4427 Ph: (973) 777-7638

Reviews and Comments

Psychologist in Passaic, NJ

Alan Berlin, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34 Ridge Ave, Passaic, NJ 07055 Phone: 973-563-8010
Dr. Carolyn Segal, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 85 Crescent Ave, Passaic, NJ 07055 Phone: 973-264-0023
Nancy Ann Brunner, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 85 Crescent Ave, Passaic, NJ 07055 Phone: 973-931-2276
Robyn Brody, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 215 Passaic Ave Apt 8f, Passaic, NJ 07055 Phone: 551-404-2637
Dr. Michael J Atlas, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 85 Crescent Ave, Passaic, NJ 07055 Phone: 973-931-2276 Fax: 973-685-2981
Dr. Jason E. Coleman, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 85 Crescent Ave, Passaic, NJ 07055 Phone: 973-312-2276
Bracha Katz, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 85 Crescent Ave, Passaic, NJ 07055 Phone: 973-264-0023 Fax: 973-264-0022

Rachel Goldman Dale, PSYD - Medicare Psychologist in Passaic, NJ