Clifford Bromberg, PHD in East Providence, RI - Medicare Clinical Psychologist Provider

Clifford Bromberg, PHD is a medicare enrolled "Psychologist - Clinical" provider in East Providence, Rhode Island. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Lifespan Physician Group Inc and his current practice location is 1011 Veterans Memorial Pkwy, East Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 432-1347.

Clifford Bromberg is licensed to practice in Rhode Island (license number PS00539) 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 1699712489.

Contact Information

	Clifford Bromberg, PHD
	1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061
	(401) 432-1347
	(401) 432-1500

Map and Direction

Healthcare Provider's Profile

Full Name	Clifford Bromberg
Gender	Male
Speciality	Clinical Psychologist
Experience	32 Years
Location	1011 Veterans Memorial Pkwy, East Providence, Rhode Island
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Clifford Bromberg graduated from medical school in 1992

NPI Data:

NPI Number: 1699712489
Provider Enumeration Date: 06/01/2006
Last Update Date: 01/06/2011

Medicare PECOS Information:

PECOS PAC ID: 4284914722
Enrollment ID: I20161129002065

Medical Identifiers

Medical identifiers for Clifford Bromberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699712489	NPI	-	NPPES
205054	Other	RI	BLUE CHIP
CB45985	Medicaid	RI
30146-2	Other	RI	BLUE CROSS
61-40234	Other	RI	UNITED BEHAVIORAL HEALTH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PS00539 (Rhode Island)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifespan Physician Group Inc	2567455082	631

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. Clifford Bromberg allows following entities to bill medicare on his behalf.

Entity Name	Lifespan Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548506793 PECOS PAC ID: 2567455082 Enrollment ID: O20130528000089

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. Clifford Bromberg 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
Clifford Bromberg, PHD 1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061 Ph: (401) 432-1284	Clifford Bromberg, PHD 1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061 Ph: (401) 432-1347

Reviews and Comments

Psychologist in East Providence, RI

Erin Ward-ciesielski, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 400 Massasoit Ave Ste 303, East Providence, RI 02914 Phone: 401-294-0451
Patricia Wong, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Massasoit Ave, East Providence, RI 02914 Phone: 401-294-0451
Ms. Alison Goldblatt, BA Psychologist Medicare: Medicare Enrolled Practice Location: 950 Warren Ave Ste 104, East Providence, RI 02914 Phone: 401-606-3711 Fax: 401-606-3712
Dr. Cara Murphy, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 400 Massasoit Ave Ste 305, East Providence, RI 02914 Phone: 401-294-0451 Fax: 401-294-0461
Dr. Darren William Holowka, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 172 Taunton Ave Ste 208, East Providence, RI 02914 Phone: 401-450-0729 Fax: 401-537-1830
Susan Dickstein, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, East Providence, RI 02915 Phone: 401-793-8731 Fax: 401-432-1500
Patricia A Engler, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 400 Massasoit Ave Ste 305, East Providence, RI 02914 Phone: 401-294-0451 Fax: 401-294-0461

Clifford Bromberg, PHD - Medicare Psychologist in East Providence, RI