Dr Ryan Gazzola, PHD in Cambridge, MA - Medicare Psychologist Provider

Dr Ryan Gazzola, PHD is a medicare enrolled "Psychologist" provider in Cambridge, Massachusetts. His current practice location is 872 Massachusetts Ave., Ste. 2-2, 2-7, Cambridge, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 395-5806.

Dr Ryan Gazzola is licensed to practice in Massachusetts (license number 9890) 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 1477760775.

Contact Information

	Dr Ryan Gazzola, PHD
	872 Massachusetts Ave., Ste. 2-2, 2-7, Cambridge, MA 02139
	(617) 395-5806
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ryan Gazzola
Gender	Male
Speciality	Psychologist
Location	872 Massachusetts Ave., Cambridge, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477760775
Provider Enumeration Date: 05/17/2007
Last Update Date: 03/03/2015

Medicare PECOS Information:

PECOS PAC ID: 9335365469
Enrollment ID: I20140728000259

Medical Identifiers

Medical identifiers for Dr Ryan Gazzola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477760775	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	Secondary
103T00000X	Psychologist	9890 (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 Ryan Gazzola allows following entities to bill medicare on his behalf.

Entity Name	Colony Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720053408 PECOS PAC ID: 0042282055 Enrollment ID: O20040810001192

Entity Name	Boodah, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104390525 PECOS PAC ID: 8224361332 Enrollment ID: O20190605000184

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 Ryan Gazzola 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 Ryan Gazzola, PHD 1000 Jefferson St., Suite 2c, Lynchburg, VA 24504 Ph: (617) 379-0496	Dr Ryan Gazzola, PHD 872 Massachusetts Ave., Ste. 2-2, 2-7, Cambridge, MA 02139 Ph: (617) 395-5806

Reviews and Comments

Psychologist in Cambridge, MA

Aliza C Yarrow, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10 Concord Ave, Cambridge, MA 02138 Phone: 617-209-7979 Fax: 617-812-0459
Annemarie Baldauf, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1208 Massachusetts Ave Ste 7, Cambridge, MA 02138 Phone: 617-958-8387 Fax: 617-830-7237
Dr. Michaela Mendelsohn, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1675 Massachusetts Ave, 2nd Floor, Cambridge, MA 02138 Phone: 617-429-3523
Dr. Jennifer Jamieson Bortle, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1218 Massachusetts Ave, Cambridge, MA 02138 Phone: 857-540-9882
Dr. Rita K. Teusch, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 129 Mount Auburn St, Cambridge, MA 02138 Phone: 617-354-2216
Dr. Camille M Dibenedetto, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 49 Hancock St, Suite 205, Cambridge, MA 02139 Phone: 617-492-8775 Fax: 617-924-1027
Angela E Radan, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 119 Windsor St, Cambridge, MA 02139 Phone: 617-665-3925

Dr Ryan Gazzola, PHD - Medicare Psychologist in Cambridge, MA