Dr Bruce L Levine, PHD - Medicare Psychologist in Hanover, NH

Dr Bruce L Levine, PHD is a medicare enrolled "Psychologist - Clinical" provider in Hanover, New Hampshire. His current practice location is 53 S Main St, Suite 302, Hanover, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 676-7711.

Dr Bruce L Levine is licensed to practice in Vermont (license number 48-618) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124146105.

Contact Information

Dr Bruce L Levine, PHD
53 S Main St, Suite 302,
Hanover, NH 03755-2022
(603) 676-7711
(603) 676-7711



Healthcare Provider's Profile

Full NameDr Bruce L Levine
GenderMale
SpecialityPsychologist - Clinical
Location53 S Main St, Hanover, New Hampshire
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124146105
  • Provider Enumeration Date: 03/27/2007
  • Last Update Date: 10/29/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 6103847835
  • Enrollment ID: I20090130000214

Medical Identifiers

Medical identifiers for Dr Bruce L Levine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124146105NPI-NPPES
OVN0954MedicaidVT
30420051MedicaidNH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 48-618 (Vermont)Primary
103TC0700XPsychologist - Clinical 421 (New Hampshire)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. Dr Bruce L Levine 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 Bruce L Levine, PHD
53 S Main St, Po Box 957,
Hanover, NH 03755-2022

Ph: (603) 676-7711
Dr Bruce L Levine, PHD
53 S Main St, Suite 302,
Hanover, NH 03755-2022

Ph: (603) 676-7711

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Psychologist in Hanover, NH

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