Dr Jeffrey Fortgang, PHD is a medicare enrolled "Psychologist - Clinical" provider in Newton, Massachusetts. His current practice location is
50 Solon Street, Newton, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 964-6822.
Dr Jeffrey Fortgang is licensed to practice in Massachusetts (license number 2822) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912914169.
Healthcare Provider's Profile
| Full Name | Dr Jeffrey Fortgang |
|---|
| Gender | Male |
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| Speciality | |
|---|
| Experience | Years |
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| Location | 50 Solon Street, Newton, Massachusetts |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jeffrey Fortgang attended and graduated from in
NPI Data:
- NPI Number: 1912914169
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jeffrey Fortgang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912914169 | NPI | - | NPPES |
| W03000 | Other | MA | BLUE CROSS BLUE SHIELD |
| 4338079 | Other | | AETNA |
| 720563 | Other | | TUFTS HEALTH PLAN |
| 014616 | Other | | VALUE OPTIONS |
| 0526436 | Medicaid | MA | |
| 151539 | Other | | MAGELLAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1066 (Massachusetts) | Primary |
| 103TC0700X | Psychologist - Clinical | 2822 (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 Jeffrey Fortgang 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 Jeffrey Fortgang, PHD
50 Solon Street,
Newton, MA 02461-1827
Ph: (617) 964-6822 | Dr Jeffrey Fortgang, PHD
50 Solon Street,
Newton, MA 02461-1827
Ph: (617) 964-6822 |
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