Dr Komal Gupta, PSYD in Salem, MA - Medicare Psychologist Provider

Dr Komal Gupta, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Salem, Massachusetts. Her current practice location is 57 Highland Ave, 2nd Floor, Salem, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 354-2705.

Dr Komal Gupta is licensed to practice in Massachusetts (license number 9678) 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 1639364151.

Contact Information

	Dr Komal Gupta, PSYD
	57 Highland Ave, 2nd Floor, Salem, MA 01970-2141
	(978) 354-2705
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Komal Gupta
Gender	Female
Speciality	Psychologist - Clinical
Location	57 Highland Ave, Salem, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639364151
Provider Enumeration Date: 09/07/2007
Last Update Date: 10/13/2021

Medicare PECOS Information:

PECOS PAC ID: 2062656200
Enrollment ID: I20130910000425

Medical Identifiers

Medical identifiers for Dr Komal Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639364151	NPI	-	NPPES
003388301	Other	MA	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	9678 (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 Komal Gupta allows following entities to bill medicare on her behalf.

Entity Name	North Shore Medical Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730121633 PECOS PAC ID: 3274427570 Enrollment ID: O20040405001019

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 Komal Gupta 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 Komal Gupta, PSYD 207 Washington St, Brookline, MA 02445-6866 Ph: () -	Dr Komal Gupta, PSYD 57 Highland Ave, 2nd Floor, Salem, MA 01970-2141 Ph: (978) 354-2705

Reviews and Comments

Psychologist in Salem, MA

Dr. Carol G Taylor, EDD Psychologist Medicare: Medicare Enrolled Practice Location: One Salem Green, Suite 555, Salem, MA 01970 Phone: 978-744-8442 Fax: 978-887-7383
Dr. David Rupert, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 204 Lafayette St, Salem, MA 01970 Phone: 978-689-5392
Estefania Paola Powers, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10 Federal St Ste 307, Salem, MA 01970 Phone: 617-758-8485
Caitlin Jewell Mazzarella, MSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 204 Lafayette St, Salem, MA 01970 Phone: 978-564-7541 Fax: 978-564-7541
Julie Gale Breskin, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2 Salt Wall Ln, Salem, MA 01970 Phone: 978-744-4114 Fax: 978-744-4164
Dr. Elaine E Faunce, PH D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 30 Federal St, Ste 101, Salem, MA 07920 Phone: 978-744-8070 Fax: 089-744-8070
Dr. Regina Higgins, EDD Psychologist Medicare: Not Enrolled in Medicare Practice Location: One Salem Green, Suite 555, Salem, MA 01970 Phone: 978-968-9528 Fax: 888-765-8406

Dr Komal Gupta, PSYD - Medicare Psychologist in Salem, MA