Dr Omar Gamal Reid, PSYD is a medicare enrolled "Psychologist - School" provider in Boston, Massachusetts. His current practice location is
895 Blue Hill Avenue, 1960 Washington Street, Roxbury, Ma 02119, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 822-0829.
Dr Omar Gamal Reid is licensed to practice in New York (license number ) 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 1922212810.
Healthcare Provider's Profile
| Full Name | Dr Omar Gamal Reid |
|---|
| Gender | Male |
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| Speciality | Psychologist - School |
|---|
| Location | 895 Blue Hill Avenue, Boston, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1922212810
- Provider Enumeration Date: 05/09/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8820141088
- Enrollment ID: I20240109001742
Medical Identifiers
Medical identifiers for Dr Omar Gamal Reid such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922212810 | NPI | - | NPPES |
| 0027092100 | Other | MA | AETNA |
| 365360 | Other | MA | MAGELLAN |
| 000000023252 | Other | MA | BMC HEALTHNET |
| 1028430 | Other | MA | NHP |
| 009133 | Other | MA | HARVARD PILGRIM PBH UBH |
| 463577 | Other | MA | TUFTS HEALTH PLAN |
| LM0778 | Other | MA | BLUE CROSS & BLUE SHIELD |
| 1891324 | Other | MA | MBHP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 1209 (Massachusetts) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 456 (Massachusetts) | Primary |
| 103TS0200X | Psychologist - School | (Massachusetts) | Primary |
| 103TS0200X | Psychologist - School | (New York) | 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 Omar Gamal Reid 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 Omar Gamal Reid, PSYD
Po Box 190781,
Boston, MA 02119-0015
Ph: (617) 230-6158 | Dr Omar Gamal Reid, PSYD
895 Blue Hill Avenue, 1960 Washington Street, Roxbury, Ma 02119,
Boston, MA 02124
Ph: (617) 822-0829 |
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