Dr Randy Lyanne Gollub, MD PHD - Medicare Psychiatry & Neurology in Boston, MA

Dr Randy Lyanne Gollub, MD PHD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Boston, Massachusetts. Her current practice location is 185 Cambridge St, 2nd Floor, Simches Research Center, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 724-9602.

Dr Randy Lyanne Gollub is licensed to practice in Massachusetts (license number 77720) 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 1003807710.

Contact Information

Dr Randy Lyanne Gollub, MD PHD
185 Cambridge St, 2nd Floor, Simches Research Center,
Boston, MA 02114
(617) 724-9602
(617) 726-4078



Physician's Profile

Full NameDr Randy Lyanne Gollub
GenderFemale
SpecialityPsychiatry & Neurology - Psychiatry
Location185 Cambridge St, 2nd Floor, Boston, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003807710
  • Provider Enumeration Date: 11/02/2005
  • Last Update Date: 08/30/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 9931197746
  • Enrollment ID: I20040503000118

Medical Identifiers

Medical identifiers for Dr Randy Lyanne Gollub such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003807710NPI-NPPES
077720OtherMATUFTS HEALTH PLAN
3116271MedicaidMA
J14229OtherMABCBS MA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 77720 (Massachusetts)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. Dr Randy Lyanne Gollub allows following entities to bill medicare on her behalf.
Entity NameMassachusetts General Physicians Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801874573
PECOS PAC ID: 2466365820
Enrollment ID: O20031111000434

News Archive

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The reason Children's Medical Research Institute (CMRI) exists is to find ways to treat or prevent childhood disease. Our research programs are focussed on the areas of cancer cell growth, nerve cell signalling, embryology and gene therapy. These four programs have a shared aim of translating novel findings into new treatments for the benefit of families everywhere.

Neutralizing antibodies from Ebola survivors can protect mice against deadly viral challenge

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Yellow fever outbreak in Angola kills 178 people

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› Verified 7 days ago

Entity NameThe General Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023049236
PECOS PAC ID: 6507803806
Enrollment ID: O20080313000351

News Archive

Discovery could rev up body's immune response to infection, autoimmune diseases

UT Southwestern Medical Center researchers report that disrupting the light-dark cycle of mice increased their susceptibility to inflammatory disease, indicating that the production of a key immune cell is controlled by the body's circadian clock.

Biomolecular imaging: an interview with Professor Roger Reddel

The reason Children's Medical Research Institute (CMRI) exists is to find ways to treat or prevent childhood disease. Our research programs are focussed on the areas of cancer cell growth, nerve cell signalling, embryology and gene therapy. These four programs have a shared aim of translating novel findings into new treatments for the benefit of families everywhere.

Neutralizing antibodies from Ebola survivors can protect mice against deadly viral challenge

A study by scientists at the Emory Vaccine Center, in collaboration with the biotechnology company Atreca, Inc., has found that antibodies generated from the blood of survivors of Ebola virus disease can strongly neutralize the Ebola virus in the laboratory and protect mice from a lethal viral challenge.

immatics initiates IMA901 Phase III trial in renal cell carcinoma

igoommatics biotechnologies GmbH, a biopharmaceutical company developing advanced therapeutic vaccines that are active against cancer, announced today that the first patients have been vaccinated in the IMPRINT study, a pivotal Phase III trial with IMA901, the company's lead cancer vaccine for the treatment of renal cell carcinoma.

Yellow fever outbreak in Angola kills 178 people

Angola is grappling with a yellow fever outbreak, which has infected more than 450 people and killed 178 – the first epidemic of the disease to hit the country in 30 years.

Read more Medical News

› Verified 7 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. Dr Randy Lyanne Gollub 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 Randy Lyanne Gollub, MD PHD
Po Box 9142, Mass General Physician Organization,
Charlestown, MA 02129-9142

Ph: (617) 724-9602
Dr Randy Lyanne Gollub, MD PHD
185 Cambridge St, 2nd Floor, Simches Research Center,
Boston, MA 02114

Ph: (617) 724-9602

News Archive

Discovery could rev up body's immune response to infection, autoimmune diseases

UT Southwestern Medical Center researchers report that disrupting the light-dark cycle of mice increased their susceptibility to inflammatory disease, indicating that the production of a key immune cell is controlled by the body's circadian clock.

Biomolecular imaging: an interview with Professor Roger Reddel

The reason Children's Medical Research Institute (CMRI) exists is to find ways to treat or prevent childhood disease. Our research programs are focussed on the areas of cancer cell growth, nerve cell signalling, embryology and gene therapy. These four programs have a shared aim of translating novel findings into new treatments for the benefit of families everywhere.

Neutralizing antibodies from Ebola survivors can protect mice against deadly viral challenge

A study by scientists at the Emory Vaccine Center, in collaboration with the biotechnology company Atreca, Inc., has found that antibodies generated from the blood of survivors of Ebola virus disease can strongly neutralize the Ebola virus in the laboratory and protect mice from a lethal viral challenge.

immatics initiates IMA901 Phase III trial in renal cell carcinoma

igoommatics biotechnologies GmbH, a biopharmaceutical company developing advanced therapeutic vaccines that are active against cancer, announced today that the first patients have been vaccinated in the IMPRINT study, a pivotal Phase III trial with IMA901, the company's lead cancer vaccine for the treatment of renal cell carcinoma.

Yellow fever outbreak in Angola kills 178 people

Angola is grappling with a yellow fever outbreak, which has infected more than 450 people and killed 178 – the first epidemic of the disease to hit the country in 30 years.

Read more News

› Verified 7 days ago


Psychiatry & Neurology Doctors in Boston, MA

Dr. Lee Edwin Goldstein, M.D., PH.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 670 Albany St, Boston, MA 02118
Phone: 617-414-8361    Fax: 617-414-7073
Dr. Joseph Yeretsian, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 361 Newbury St Fl 5, Boston, MA 02115
Phone: 617-865-4910    Fax: 617-507-1426
Dr. Michael Gulliver Erkkinen, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 75 Francis St, Boston, MA 02115
Phone: 617-732-5500    
Dr. Joseph Jeffrey Taylor, M.D., PH.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 60 Fenwood Rd, Boston, MA 02115
Phone: 617-732-5500    
Sanjay Menon, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 55 Fruit St., Massachusetts General Hospital, Boston, MA 02114
Phone: 857-238-5600    
Lara Basovic, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 15 Parkman St Fl 8, Boston, MA 02114
Phone: 617-726-3311    Fax: 617-726-9250
Ms. Ruth Farrell Mccann, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 75 Francis St, Boston, MA 02115
Phone: 617-732-5500    

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