Dr Susan Ellen Gottlieb, PHD in Arlington, MA - Medicare Psychologist Provider

Dr Susan Ellen Gottlieb, PHD is a medicare enrolled "Psychologist" provider in Arlington, Massachusetts. Her current practice location is 259 Massachusetts Ave, Arlington, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 641-0272.

Dr Susan Ellen Gottlieb is licensed to practice in Massachusetts (license number 2515) 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 1154477644.

Contact Information

	Dr Susan Ellen Gottlieb, PHD
	259 Massachusetts Ave, Arlington, MA 02474-8406
	(781) 641-0272
	Not Available

Healthcare Provider's Profile

Full Name	Dr Susan Ellen Gottlieb
Gender	Female
Speciality	Psychologist
Location	259 Massachusetts Ave, Arlington, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154477644
Provider Enumeration Date: 01/26/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8729269139
Enrollment ID: I20110217000776

Medical Identifiers

Medical identifiers for Dr Susan Ellen Gottlieb such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154477644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	2515 (Massachusetts)	Primary

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 Susan Ellen Gottlieb 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
Dr Susan Ellen Gottlieb, PHD 259 Massachusetts Ave, Arlington, MA 02474-8406 Ph: (781) 641-0272	Dr Susan Ellen Gottlieb, PHD 259 Massachusetts Ave, Arlington, MA 02474-8406 Ph: (781) 641-0272

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Psychologist in Arlington, MA

Jeremy Clyman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 108 Broadway Apt 4, Arlington, MA 02474 Phone: 201-207-4203
Dr. Diana M Ronell, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 366 Massachusetts Ave, Suite 101, Arlington, MA 02474 Phone: 617-491-1296
Dr. Kenneth M. Reeves, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 22 Mill St, Suite 004, Arlington, MA 02476 Phone: 781-646-0500 Fax: 781-646-7130
Dr. Shauna Lynn Dowden, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 754 Massachusetts Ave, Arlington, MA 02476 Phone: 617-855-2560 Fax: 781-646-1191
Jesse M. Crosby, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 22 Mill St Ste 405, Arlington, MA 02476 Phone: 781-879-7597
Dr. Susan Jane Regan, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 94 Pleasant St, Arlington, MA 02476 Phone: 617-470-6962
Dr. Jon M Stiegel, ED.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 361 Massachusetts Ave, Arlington, MA 02474 Phone: 781-646-6244 Fax: 781-646-6244

Dr Susan Ellen Gottlieb, PHD - Medicare Psychologist in Arlington, MA