Jeffrey H Gottlieb, MD | |
28 Crescent St, Middletown, CT 06457-3654 | |
(860) 344-6760 | |
(860) 358-4829 |
Full Name | Jeffrey H Gottlieb |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 43 Years |
Location | 28 Crescent St, Middletown, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043292980 | NPI | - | NPPES |
11280080 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 028008 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Francis Hospital & Medical Center | Hartford, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Trinity Health Of New England Provider Network Organization Inc | 0941113567 | 613 |
Northeast Health Services Llc | 6901866706 | 225 |
Mercy Inpatient Medical Associates Inc | 7416846977 | 83 |
Entity Name | Trinity Health Of New England Provider Network Organization Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
Entity Name | The William W Backus Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467517235 PECOS PAC ID: 0749170645 Enrollment ID: O20040316000739 |
Entity Name | Harvest Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477712917 PECOS PAC ID: 9931276979 Enrollment ID: O20080917000499 |
Entity Name | Prospect Manchester Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316394638 PECOS PAC ID: 9234423625 Enrollment ID: O20160926000570 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey H Gottlieb, MD 28 Crescent St, Middletown, CT 06457-3654 Ph: (860) 344-6760 | Jeffrey H Gottlieb, MD 28 Crescent St, Middletown, CT 06457-3654 Ph: (860) 344-6760 |
Richard M. Ketai, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 103 S Main St, Middletown, CT 06457 Phone: 860-358-8760 Fax: 860-358-8754 | |
Dr. Carlos A Cardoso, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Silver Street, Connecticut Valley Hospital, Middletown, CT 06457 Phone: 860-262-5867 Fax: 860-262-5850 | |
Dr. Zachary Malcolm Lenane, MD, MPH Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 70 Holmes Dr, Middletown, CT 06457 Phone: 860-262-5400 | |
Paul Sadowitz, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 635 Main St, Middletown, CT 06457 Phone: 860-347-6971 Fax: 860-638-6601 | |
Dr. Emily A Laurenzano, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1250 Silver St, Middletown, CT 06457 Phone: 877-577-3233 | |
Ronald E Johnson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Connecticut Valley Hospital, Middletown, CT 06457 Phone: 860-262-5867 Fax: 860-262-5850 |