Jack D Goldstein, MD1208 - Medicare Orthopedic Surgery in E Providence, RI

Jack D Goldstein, MD1208 is a medicare enrolled "Orthopaedic Surgery" physician in E Providence, Rhode Island. He went to University Of California, Davis School Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Sports Medicine Orthopaedics And Podiatry Inc, Sports Medicine Orthopaedics And Podiatry Inc and his current practice location is 400 Massasoit Ave, Suite 201, E Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 919-5222.

Jack D Goldstein is licensed to practice in Rhode Island (license number RI8073) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245233261.

Contact Information

Jack D Goldstein, MD1208
400 Massasoit Ave, Suite 201,
E Providence, RI 02914-2012
(401) 919-5222
(401) 919-5227



Physician's Profile

Full NameJack D Goldstein
GenderMale
SpecialityOrthopedic Surgery
Experience42 Years
Location400 Massasoit Ave, E Providence, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jack D Goldstein attended and graduated from University Of California, Davis School Of Medicine in 1982
  NPI Data:
  • NPI Number: 1245233261
  • Provider Enumeration Date: 05/23/2005
  • Last Update Date: 11/02/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 3274427414
  • Enrollment ID: I20040210000392

Medical Identifiers

Medical identifiers for Jack D Goldstein such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245233261NPI-NPPES
15131OtherRINEIGHBORHOOD HEALTH
2432493OtherRIAETNA US HEALTHCARE
779577OtherRITUFTS
200042974OtherRIRAILROAD MEDICARE
2797369003OtherRICIGNA
0900689OtherPRUNITED HEALTHCARE
0000022384OtherRIRI BLUE CROSS BLUE SHIELD
202113OtherRIRI BLUE CHIP
9020116MedicaidRI
61829OtherRIHARVARD PILGRIM HEALTH CA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery RI8073 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home Health CareWarwick, RIHome health agency
The Miriam HospitalProvidence, RIHospital
Saint Anne's HospitalFall river, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sports Medicine Orthopaedics And Podiatry Inc72148210322
Sports Medicine Orthopaedics And Podiatry Inc72148210322

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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. Jack D Goldstein allows following entities to bill medicare on his behalf.
Entity NameSports Medicine Orthopaedics & Podiatry Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407034994
PECOS PAC ID: 7214821032
Enrollment ID: O20080422000552

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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. Jack D Goldstein 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
Jack D Goldstein, MD1208
400 Massasoit Ave, Suite 201,
E Providence, RI 02914-2012

Ph: (401) 919-5222
Jack D Goldstein, MD1208
400 Massasoit Ave, Suite 201,
E Providence, RI 02914-2012

Ph: (401) 919-5222

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A new study shows that women with interstitial lung disease (ILD) related to autoimmune disease may not need to terminate their pregnancies-despite the increased risk of adverse outcomes-provided they have close monitoring from their team of multidisciplinary physicians before, during and after pregnancy.

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Orthopaedic Surgery Doctors in E Providence, RI


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