Jill Lynn Gottlieb, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. Her current practice location is
3303 N Broadway Fl 4, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(213) 325-4984.
Jill Lynn Gottlieb is licensed to practice in California (license number LCS 14338) 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 1811085467.
Healthcare Provider's Profile
Full Name | Jill Lynn Gottlieb |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3303 N Broadway Fl 4, Los Angeles, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1811085467
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 08/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 3779991062
- Enrollment ID: I20210427000981
Medical Identifiers
Medical identifiers for Jill Lynn Gottlieb such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811085467 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | CSW09924200 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | LCS 14338 (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. Jill Lynn Gottlieb allows following entities to bill medicare on her behalf.
Entity Name | Abundance Therapy Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205335445 PECOS PAC ID: 5890126882 Enrollment ID: O20200506002781 |
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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. Jill Lynn 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 |
Jill Lynn Gottlieb, LCSW 3303 N Broadway Fl 4, Los Angeles, CA 90031-2803 Ph: (213) 325-4984 | Jill Lynn Gottlieb, LCSW 3303 N Broadway Fl 4, Los Angeles, CA 90031-2803 Ph: (213) 325-4984 |
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