Dr Gloria-lee Kazakov, PSYD is a medicare enrolled "Psychologist" provider in Chelmsford, Massachusetts. She graduated from healthcare school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Atrius Health Inc and her current practice location is
228 Billerica Rd, Chelmsford, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(978) 250-6240.
Dr Gloria-lee Kazakov is licensed to practice in Massachusetts (license number 9330) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730329160.
Healthcare Provider's Profile
Full Name | Dr Gloria-lee Kazakov |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 15 Years |
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Location | 228 Billerica Rd, Chelmsford, Massachusetts |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Gloria-lee Kazakov graduated from medical school in 2009
NPI Data:
- NPI Number: 1730329160
- Provider Enumeration Date: 02/25/2009
- Last Update Date: 03/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 9931326659
- Enrollment ID: I20140804001404
Medical Identifiers
Medical identifiers for Dr Gloria-lee Kazakov such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730329160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103T00000X | Psychologist | 9330 (Massachusetts) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Atrius Health Inc | 4789588641 | 1116 |
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 Gloria-lee Kazakov allows following entities to bill medicare on her behalf.
Entity Name | Atrius Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871639914 PECOS PAC ID: 4789588641 Enrollment ID: O20031121000582 |
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Entity Name | Child And Family Psychological Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912987181 PECOS PAC ID: 5991763823 Enrollment ID: O20041227000004 |
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Entity Name | Youth Opportunities Upheld Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245317205 PECOS PAC ID: 9638190374 Enrollment ID: O20051209000469 |
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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 Gloria-lee Kazakov 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 Gloria-lee Kazakov, PSYD 228 Billerica Rd, Chelmsford, MA 01824-3604 Ph: (978) 250-6240 | Dr Gloria-lee Kazakov, PSYD 228 Billerica Rd, Chelmsford, MA 01824-3604 Ph: (978) 250-6240 |
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