Dr Emma Lorraine Weizenbaum, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Boston, Massachusetts. Her current practice location is
60 Fenwood Rd, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 525-9108.
Dr Emma Lorraine Weizenbaum is licensed to practice in Massachusetts (license number 11981) 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 1225651375.
Healthcare Provider's Profile
Full Name | Dr Emma Lorraine Weizenbaum |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 60 Fenwood Rd, Boston, Massachusetts |
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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: 1225651375
- Provider Enumeration Date: 05/23/2020
- Last Update Date: 03/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991168486
- Enrollment ID: I20230831000903
Medical Identifiers
Medical identifiers for Dr Emma Lorraine Weizenbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225651375 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 11981 (Massachusetts) | Secondary |
103G00000X | Clinical Neuropsychologist | 11981 (Massachusetts) | 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 Emma Lorraine Weizenbaum allows following entities to bill medicare on her behalf.
Entity Name | Brigham & Womens Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
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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 Emma Lorraine Weizenbaum 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 Emma Lorraine Weizenbaum, PHD 117 Irving St, Watertown, MA 02472-2705 Ph: (512) 217-2825 | Dr Emma Lorraine Weizenbaum, PHD 60 Fenwood Rd, Boston, MA 02115-6128 Ph: (617) 525-9108 |
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