Nicole T Goldberg, CNM - Medicare Advanced Practice Midwife in Portland, ME

Nicole T Goldberg, CNM is a medicare enrolled "Advanced Practice Midwife" in Portland, Maine. Her current practice location is 22 Bramhall St, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 662-2589.

Nicole T Goldberg is licensed to practice in Maine (license number 182003) 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 1952732125.

Contact Information

Nicole T Goldberg, CNM
22 Bramhall St,
Portland, ME 04102-3134
(207) 662-2589
Not Available



Provider's Profile

Full NameNicole T Goldberg
GenderFemale
SpecialityAdvanced Practice Midwife
Location22 Bramhall St, Portland, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952732125
  • Provider Enumeration Date: 12/12/2013
  • Last Update Date: 05/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0547583965
  • Enrollment ID: I20220610002212

Medical Identifiers

Medical identifiers for Nicole T Goldberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952732125NPI-NPPES
CNM182003OtherMEME LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 182003 (Maine)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. Nicole T Goldberg allows following entities to bill medicare on her behalf.
Entity NameMaine Medical Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104921535
PECOS PAC ID: 9335043967
Enrollment ID: O20040331000274

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› Verified 2 days ago

Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166

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› Verified 2 days ago

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. Nicole T 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 AddressPractice Location Address
Nicole T Goldberg, CNM
77 Jasper St,
Scarborough, ME 04074-9282

Ph: () -
Nicole T Goldberg, CNM
22 Bramhall St,
Portland, ME 04102-3134

Ph: (207) 662-2589

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› Verified 2 days ago


Advanced Practice Midwife Nurses in Portland, ME

Kristin Ricci, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 22 Bramhall St, Portland, ME 04102
Phone: 207-662-2911    
Jennifer Gilbert, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 527 Ocean Ave, Portland, ME 04103
Phone: 207-871-0666    Fax: 207-347-7151
Holly Ann Christensen, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 195 Fore River Pkwy, Portland, ME 04102
Phone: 207-871-0666    Fax: 207-347-7151
Emily J. Hansen, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 443 Congress St, 2nd Floor, Portland, ME 04101
Phone: 207-797-8881    
Amy Harris,
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 970 Forest Ave, Portland, ME 04103
Phone: 207-797-8881    
Ms. Amy Kogut, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 84 Marginal Way Ste 900, Portland, ME 04101
Phone: 207-874-2445    
Mrs. Sara L Cameron,
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 535 Ocean Ave, Portland, ME 04103
Phone: 207-518-6000    Fax: 208-518-6001

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