Alice B Gottlieb, MD is a medicare enrolled "Dermatology" physician in Somers, New York. She went to Js Weill Medical College, Cornell University and graduated in 1980 and has 44 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Icahn School Of Medicine At Mount Sinai and her current practice location is
336 Route 202 Ste 2, Somers, New York. You can reach out to her office (for appointments etc.) via phone at
(146) 178-9509.
Alice B Gottlieb is licensed to practice in Massachusetts (license number 227191) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275581407.
Physician's Profile
Full Name | Alice B Gottlieb |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 44 Years |
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Location | 336 Route 202 Ste 2, Somers, New York |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Alice B Gottlieb attended and graduated from Js Weill Medical College, Cornell University in 1980
NPI Data:
- NPI Number: 1275581407
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 06/25/2018
Medicare PECOS Information:
- PECOS PAC ID: 4981607611
- Enrollment ID: I20161129002183
Medical Identifiers
Medical identifiers for Alice B Gottlieb such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275581407 | NPI | - | NPPES |
01040766 | Medicaid | NY | |
146528 | Other | NY | NY STATE LICENCE |
028898 | Other | CT | CT LICENCE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 227191 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Icahn School Of Medicine At Mount Sinai | 2264691070 | 2323 |
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. Alice B Gottlieb allows following entities to bill medicare on her behalf.
Entity Name | Metropolitan Medical Practice Plan Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306138383 PECOS PAC ID: 8022286384 Enrollment ID: O20110713000171 |
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Entity Name | Icahn School Of Medicine At Mount Sinai |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922365915 PECOS PAC ID: 2264691070 Enrollment ID: O20120803000031 |
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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. Alice B 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 |
Alice B Gottlieb, MD 51 Twin Lakes Rd, South Salem, NY 10590-1012 Ph: (732) 589-2328 | Alice B Gottlieb, MD 336 Route 202 Ste 2, Somers, NY 10589-3221 Ph: (146) 178-9509 |
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