Dr Jeffrey Fortgang, PHD is a medicare enrolled "Psychologist - Clinical" provider in Newton, Massachusetts. He went to Harvard Medical School and graduated in 1980 and has 44 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
50 Solon Street, Newton, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 964-6822.
Dr Jeffrey Fortgang is licensed to practice in Massachusetts (license number 2822) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912914169.
Healthcare Provider's Profile
| Full Name | Dr Jeffrey Fortgang |
|---|
| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 44 Years |
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| Location | 50 Solon Street, Newton, Massachusetts |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jeffrey Fortgang attended and graduated from Harvard Medical School in 1980
NPI Data:
- NPI Number: 1912914169
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3870776719
- Enrollment ID: I20110330000458
Medical Identifiers
Medical identifiers for Dr Jeffrey Fortgang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912914169 | NPI | - | NPPES |
| W03000 | Other | MA | BLUE CROSS BLUE SHIELD |
| 4338079 | Other | | AETNA |
| 720563 | Other | | TUFTS HEALTH PLAN |
| 014616 | Other | | VALUE OPTIONS |
| 0526436 | Medicaid | MA | |
| 151539 | Other | | MAGELLAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1066 (Massachusetts) | Primary |
| 103TC0700X | Psychologist - Clinical | 2822 (Massachusetts) | Primary |
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 Jeffrey Fortgang 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 Jeffrey Fortgang, PHD
50 Solon Street,
Newton, MA 02461-1827
Ph: (617) 964-6822 | Dr Jeffrey Fortgang, PHD
50 Solon Street,
Newton, MA 02461-1827
Ph: (617) 964-6822 |
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