Dr Viviana Ines Goldenberg, MD - Medicare Family Practice in Fayetteville, GA

Dr Viviana Ines Goldenberg, MD is a medicare enrolled "Family Medicine" physician in Fayetteville, Georgia. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice The Southeast Permanente Medical Group and her current practice location is 101 Banks Sta, Kaiser Permanente Fayette Medical Center, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 610-3700.

Dr Viviana Ines Goldenberg is licensed to practice in Georgia (license number 065552) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003853847.

Contact Information

Dr Viviana Ines Goldenberg, MD
101 Banks Sta, Kaiser Permanente Fayette Medical Center,
Fayetteville, GA 30214-7507
(678) 610-3700
(770) 631-2415



Physician's Profile

Full NameDr Viviana Ines Goldenberg
GenderFemale
SpecialityFamily Practice
Experience29 Years
Location101 Banks Sta, Fayetteville, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Viviana Ines Goldenberg graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1003853847
  • Provider Enumeration Date: 06/01/2006
  • Last Update Date: 01/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5698773927
  • Enrollment ID: I20110330000508

Medical Identifiers

Medical identifiers for Dr Viviana Ines Goldenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003853847NPI-NPPES
64124183MedicaidKY
003106664AMedicaidGA
2691912MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 39544 (Kentucky)Secondary
207Q00000XFamily Medicine 65552 (Georgia)Secondary
207Q00000XFamily Medicine 065552 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Southeast Permanente Medical Group6204829013576

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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 Viviana Ines Goldenberg allows following entities to bill medicare on her behalf.
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370

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Entity NameEmory Specialty Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407864168
PECOS PAC ID: 3476559782
Enrollment ID: O20061010000447

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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 Viviana Ines 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 AddressPractice Location Address
Dr Viviana Ines Goldenberg, MD
3495 Piedmont Rd Ne, Nine Piedmont Center,
Atlanta, GA 30305-1717

Ph: (404) 364-7070
Dr Viviana Ines Goldenberg, MD
101 Banks Sta, Kaiser Permanente Fayette Medical Center,
Fayetteville, GA 30214-7507

Ph: (678) 610-3700

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Family Medicine Doctors in Fayetteville, GA

Dr. Frank Alena, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1975 Highway 54 West, Suite 150, Fayetteville, GA 30214
Phone: 770-486-5000    Fax: 404-588-2624
Mr. Derek Collins Ii, NP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 145 Johnson Ave, Fayetteville, GA 30214
Phone: 912-283-5260    
Dr. William Collins, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1975 Highway 54 West, Suite 150, Fayetteville, GA 30214
Phone: 770-486-5000    
Dr. William Clint Adcox, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Genevieve Ct Ste A, Fayetteville, GA 30215
Phone: 770-486-1818    Fax: 770-486-7303
Prof. Mukti Bhatia Kanji, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 101 Yorktown Dr, Suite 100, Fayetteville, GA 30214
Phone: 770-460-4285    Fax: 770-460-4319
Altee S Johnson, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 101 Yorktown Dr, Suite110, Fayetteville, GA 30214
Phone: 678-364-5400    Fax: 678-364-5399

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