Alice B Gottlieb, MD is a medicare enrolled "Dermatology" physician in Somers, New York. She graduated from medical school in 1980 and has 46 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice University Of Texas Southwestern Medical Center At Dallas and her current practice location is
336 Route 202 Ste 2, Somers, New York. You can reach out to her office (for appointments etc.) via phone at
(146) 178-9509.
Alice B Gottlieb is licensed to practice in Massachusetts (license number 227191) 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 1275581407.
Physician's Profile
| Full Name | Alice B Gottlieb |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 46 Years |
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| Location | 336 Route 202 Ste 2, Somers, New York |
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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:
- Alice B Gottlieb graduated from medical school in 1980
NPI Data:
- NPI Number: 1275581407
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 06/25/2018
Medicare PECOS Information:
- PECOS PAC ID: 4981607611
- Enrollment ID: I20250718004262
Medical Identifiers
Medical identifiers for Alice B Gottlieb such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1275581407 | NPI | - | NPPES |
| 01040766 | Medicaid | NY | |
| 146528 | Other | NY | NY STATE LICENCE |
| 028898 | Other | CT | CT LICENCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | 227191 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| University Of Texas Southwestern Medical Center At Dallas | 0648188250 | 3195 |
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. Alice B Gottlieb 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 |
Alice B Gottlieb, MD 51 Twin Lakes Rd, South Salem, NY 10590-1012 Ph: (732) 589-2328 | Alice B Gottlieb, MD 336 Route 202 Ste 2, Somers, NY 10589-3221 Ph: (146) 178-9509 |
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