Dr Joshua Gottlieb, DO is a medicare enrolled "Urology" physician in Simi Valley, California. His current practice location is
2750 Sycamore Dr Ste 201&210, Simi Valley, California. You can reach out to his office (for appointments etc.) via phone at
(805) 577-8460.
Dr Joshua Gottlieb is licensed to practice in California (license number 19692) 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 1003347618.
Physician's Profile
Full Name | Dr Joshua Gottlieb |
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Gender | Male |
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Speciality | Urology |
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Location | 2750 Sycamore Dr Ste 201&210, Simi Valley, 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: 1003347618
- Provider Enumeration Date: 03/24/2017
- Last Update Date: 08/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880075183
- Enrollment ID: I20220718003355
Medical Identifiers
Medical identifiers for Dr Joshua Gottlieb such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003347618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 19692 (California) | Primary |
208800000X | Urology | 20A19692 (California) | Secondary |
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 Joshua Gottlieb allows following entities to bill medicare on his behalf.
Entity Name | Adventist Health Physicians Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083976294 PECOS PAC ID: 3274580972 Enrollment ID: O20120726000175 |
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Entity Name | Providence Saint Johns Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518438712 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904 |
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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 Joshua 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 |
Dr Joshua Gottlieb, DO 2750 Sycamore Dr Ste 210, Simi Valley, CA 93065-1500 Ph: (805) 577-8460 | Dr Joshua Gottlieb, DO 2750 Sycamore Dr Ste 201&210, Simi Valley, CA 93065-1502 Ph: (805) 577-8460 |
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