Dr David Gotthelf, PHD is a medicare enrolled "Psychologist - Clinical" provider in Indianapolis, Indiana. His current practice location is
8222 Washington Blvd, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at
(617) 217-1178.
Dr David Gotthelf is licensed to practice in Massachusetts (license number 7180) 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 1215010681.
Healthcare Provider's Profile
| Full Name | Dr David Gotthelf |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 8222 Washington Blvd, Indianapolis, Indiana |
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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: 1215010681
- Provider Enumeration Date: 10/21/2006
- Last Update Date: 06/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 7416256409
- Enrollment ID: I20160426000293
Medical Identifiers
Medical identifiers for Dr David Gotthelf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215010681 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 845 (Massachusetts) | Secondary |
| 103T00000X | Psychologist | 308 (Massachusetts) | Secondary |
| 103TS0200X | Psychologist - School | 163046 (Massachusetts) | Secondary |
| 103TC0700X | Psychologist - Clinical | 7180 (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 David Gotthelf allows following entities to bill medicare on his behalf.
| Entity Name | Maron Dga Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427146414 PECOS PAC ID: 3274784012 Enrollment ID: O20121105000023 |
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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 David Gotthelf 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 David Gotthelf, PHD 8222 Washington Blvd, Indianapolis, IN 46240-2254 Ph: (617) 217-1178 | Dr David Gotthelf, PHD 8222 Washington Blvd, Indianapolis, IN 46240-2254 Ph: (617) 217-1178 |
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