Dr Irene V Gottlob, MD is a medicare enrolled "Ophthalmology - Neuro-ophthalmology" physician in Camden, New Jersey. Her current practice location is
1 Federal St Ste 200, Camden, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 356-4924.
Dr Irene V Gottlob is licensed to practice in New Jersey (license number 25MA10966900) 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 1831869312.
Physician's Profile
Full Name | Dr Irene V Gottlob |
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Gender | Female |
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Speciality | Ophthalmology - Neuro-ophthalmology |
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Location | 1 Federal St Ste 200, Camden, New Jersey |
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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: 1831869312
- Provider Enumeration Date: 09/16/2021
- Last Update Date: 09/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 8820488588
- Enrollment ID: I20211213000362
Medical Identifiers
Medical identifiers for Dr Irene V Gottlob such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831869312 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207WX0110X | Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist | 25MA10966900 (New Jersey) | Secondary |
207WX0109X | Ophthalmology - Neuro-ophthalmology | 25MA10966900 (New Jersey) | 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. Dr Irene V Gottlob allows following entities to bill medicare on her behalf.
Entity Name | Cmc Department Of Medicine Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386682094 PECOS PAC ID: 2163335878 Enrollment ID: O20050104000343 |
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Entity Name | Cmc Department Of Medicine Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679605554 PECOS PAC ID: 2163335878 Enrollment ID: O20050203000280 |
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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. Dr Irene V Gottlob 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 Irene V Gottlob, MD 427 S Camac St, Philadelphia, PA 19147-1140 Ph: (215) 908-2012 | Dr Irene V Gottlob, MD 1 Federal St Ste 200, Camden, NJ 08103-1088 Ph: (856) 356-4924 |
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