Genelle Cherise Vickianna Gittens-backus, MD in Brockton, MA

Genelle Cherise Vickianna Gittens-backus, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Brockton, Massachusetts. Her current practice location is 110 Liberty St, Brockton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 565-3055.

Genelle Cherise Vickianna Gittens-backus is licensed to practice in Massachusetts (license number 1014882) 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 1932553971.

Contact Information

	Genelle Cherise Vickianna Gittens-backus, MD
	110 Liberty St, Brockton, MA 02301-5674
	(508) 565-3055
	Not Available

Map and Direction

Physician's Profile

Full Name	Genelle Cherise Vickianna Gittens-backus
Gender	Female
Speciality	Radiology - Diagnostic Radiology
Location	110 Liberty St, Brockton, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932553971
Provider Enumeration Date: 04/15/2016
Last Update Date: 09/20/2024

Medicare PECOS Information:

PECOS PAC ID: 1759670946
Enrollment ID: I20230906003389

Medical Identifiers

Medical identifiers for Genelle Cherise Vickianna Gittens-backus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932553971	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	1014882 (Massachusetts)	Primary
2085R0202X	Radiology - Diagnostic Radiology	25MA12372500 (New Jersey)	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. Genelle Cherise Vickianna Gittens-backus allows following entities to bill medicare on her behalf.

Entity Name	Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275574899 PECOS PAC ID: 4486567104 Enrollment ID: O20040323000584

Entity Name	Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1245773308 PECOS PAC ID: 6305749987 Enrollment ID: O20170628003015

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. Genelle Cherise Vickianna Gittens-backus 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
Genelle Cherise Vickianna Gittens-backus, MD 1 Federal St Ste 200, Camden, NJ 08103-1088 Ph: (848) 288-6935	Genelle Cherise Vickianna Gittens-backus, MD 110 Liberty St, Brockton, MA 02301-5674 Ph: (508) 565-3055

Reviews and Comments

Radiology Doctors in Brockton, MA

Steven Hun Kyu Oh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 235 N Pearl St, Radiology Department, Brockton, MA 02301 Phone: 508-427-3106 Fax: 508-427-2538
Stephen T Sweriduk, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 265 Westgate Dr, Brockton, MA 02301 Phone: 800-258-4674 Fax: 508-897-3198
Ketan Patel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 265 Westgate Dr, Brockton, Brockton, MA 02301 Phone: 800-258-4674 Fax: 508-897-3198
George William Poulos, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Signature Healthcare, Brockton Hospital, Radiology, Brockton, MA 02302 Phone: 508-941-7150
Jorge Ganson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 235 N Pearl St, Radiology Department, Brockton, MA 02301 Phone: 508-427-3106 Fax: 508-427-2538
David S Titelbaum, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 265 Westgate Dr, Brockton, MA 02301 Phone: 800-258-4674 Fax: 508-897-3198
Donald M Greenstein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 235 N Pearl St, Radiology Department, Brockton, MA 02301 Phone: 508-427-3106 Fax: 508-427-2538

Genelle Cherise Vickianna Gittens-backus, MD - Medicare Radiology in Brockton, MA