Ms Talia Gotlieb, MA, CCC-A in Fair Lawn, NJ - Medicare Audiologist Provider

Ms Talia Gotlieb, MA, CCC-A is a medicare enrolled "Audiologist" provider in Fair Lawn, New Jersey. Her current practice location is 13-19 River Rd, Fair Lawn, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 703-6800.

Ms Talia Gotlieb is licensed to practice in New Jersey (license number 41YA00002100) 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 1528094745.

Contact Information

	Ms Talia Gotlieb, MA, CCC-A
	13-19 River Rd, Fair Lawn, NJ 07410-1837
	(201) 703-6800
	(201) 703-6805

Healthcare Provider's Profile

Full Name	Ms Talia Gotlieb
Gender	Female
Speciality	Audiologist
Location	13-19 River Rd, Fair Lawn, 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: 1528094745
Provider Enumeration Date: 06/23/2006
Last Update Date: 07/02/2014

Medicare PECOS Information:

PECOS PAC ID: 4284660879
Enrollment ID: I20050714000825

Medical Identifiers

Medical identifiers for Ms Talia Gotlieb such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528094745	NPI	-	NPPES
6126600	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	41YA00002100 (New Jersey)	Primary
237700000X	Hearing Instrument Specialist	25MG00039200 (New Jersey)	Secondary

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. Ms Talia Gotlieb 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
Ms Talia Gotlieb, MA, CCC-A 13-19 River Rd, Fair Lawn, NJ 07410-1837 Ph: (201) 703-6800	Ms Talia Gotlieb, MA, CCC-A 13-19 River Rd, Fair Lawn, NJ 07410-1837 Ph: (201) 703-6800

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Audiologist in Fair Lawn, NJ

Joann Katsantonis, MS Audiologist Medicare: Accepting Medicare Assignments Practice Location: 13-19 River Rd, Fair Lawn, NJ 07410 Phone: 201-703-6800 Fax: 201-703-6805
Earlab Inc Audiologist Medicare: Medicare Enrolled Practice Location: 11-26 Saddle River Rd, Fair Lawn, NJ 07410 Phone: 201-796-3131 Fax: 201-796-9017
Kathleen J Yu, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 13-19 River Rd, Fair Lawn, NJ 07410 Phone: 201-703-6800 Fax: 201-703-6805
Gotlieb Hearing Center Audiologist Medicare: Not Enrolled in Medicare Practice Location: 13-19 River Road, Fair Lawn, NJ 07410 Phone: 201-703-6800 Fax: 201-703-6805

Ms Talia Gotlieb, MA, CCC-A - Medicare Audiologist in Fair Lawn, NJ