Robert J Gottlieb, MD in Hampton Bays, NY

Robert J Gottlieb, MD is a medicare enrolled "Pediatrics" physician in Hampton Bays, New York. His current practice location is 5 Squiretown Rd, Hampton Bays, New York. You can reach out to his office (for appointments etc.) via phone at (631) 728-5300.

Robert J Gottlieb is licensed to practice in New York (license number 1442901) 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 1154489847.

Contact Information

	Robert J Gottlieb, MD
	5 Squiretown Rd, Hampton Bays, NY 11946
	(631) 728-5300
	(631) 728-5360

Map and Direction

Physician's Profile

Full Name	Robert J Gottlieb
Gender	Male
Speciality	Pediatrics
Location	5 Squiretown Rd, Hampton Bays, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154489847
Provider Enumeration Date: 12/05/2006
Last Update Date: 10/22/2015

Medicare PECOS Information:

PECOS PAC ID: 9234418757
Enrollment ID: I20161128000179

Medical Identifiers

Medical identifiers for Robert J Gottlieb such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154489847	NPI	-	NPPES
01193815	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	1442901 (New York)	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. Robert J Gottlieb allows following entities to bill medicare on his behalf.

Entity Name	Stony Brook Children's Service, University Faculty Practice Corporatio
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083660575 PECOS PAC ID: 8921993551 Enrollment ID: O20040220000822

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. Robert J 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
Robert J Gottlieb, MD 45 Research Way, Stony Brook Children's Services, Ufpc, East Setauket, NY 11733 Ph: (631) 675-2125	Robert J Gottlieb, MD 5 Squiretown Rd, Hampton Bays, NY 11946 Ph: (631) 728-5300

Reviews and Comments

Pediatrics Doctors in Hampton Bays, NY

Barbara J Cusumano, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5 Squiretown Rd, Hampton Bays, NY 11946 Phone: 631-728-5300 Fax: 631-728-5360
Joseph B Quinn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5 Squiretown Rd, Hampton Bays, NY 11946 Phone: 631-728-5300 Fax: 631-728-5360
Dr. Evonne H Kaplan-liss, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 West Montauk Highway, Hampton Bays, NY 11946 Phone: 631-723-5000
James Bedell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3 Washington Dr, Hampton Bays, NY 11946 Phone: 408-513-4963
Linda Hamilton, ARNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5 Squiretown Rd, Hampton Bays, NY 11946 Phone: 631-728-5300 Fax: 631-728-5360
Emily Pederson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5 Squiretown Road, Hampton Bays, NY 11946 Phone: 631-728-5300

Robert J Gottlieb, MD - Medicare Pediatrics in Hampton Bays, NY