Dr Lee M Gomberg, PHD - Medicare Psychologist in Long Beach, CA

Dr Lee M Gomberg, PHD is a medicare enrolled "Psychologist - Clinical" provider in Long Beach, California. His current practice location is 2600 Redondo Ave Fl 3, Long Beach, California. You can reach out to his office (for appointments etc.) via phone at (562) 256-2935.

Dr Lee M Gomberg is licensed to practice in California (license number PSY14226) 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 1487766622.

Contact Information

Dr Lee M Gomberg, PHD
2600 Redondo Ave Fl 3,
Long Beach, CA 90806-2325
(562) 256-2935
Not Available



Healthcare Provider's Profile

Full NameDr Lee M Gomberg
GenderMale
SpecialityPsychologist - Clinical
Location2600 Redondo Ave Fl 3, Long Beach, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487766622
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 03/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5193779098
  • Enrollment ID: I20050303000402

Medical Identifiers

Medical identifiers for Dr Lee M Gomberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487766622NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY14226 (California)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 Lee M Gomberg allows following entities to bill medicare on his behalf.
Entity NameLos Angeles County Department Of Mental Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083633929
PECOS PAC ID: 7416869896
Enrollment ID: O20031104000319

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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. Dr Lee M Gomberg 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 Lee M Gomberg, PHD
Po Box 90121,
Long Beach, CA 90809-0121

Ph: (562) 972-3023
Dr Lee M Gomberg, PHD
2600 Redondo Ave Fl 3,
Long Beach, CA 90806-2325

Ph: (562) 256-2935

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