Dr Theresa Elaine Gilmore, PHD in Brookline, MA - Medicare Clinical Psychologist Provider

Dr Theresa Elaine Gilmore, PHD is a medicare enrolled "Psychologist - Clinical" provider in Brookline, Massachusetts. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Trustees Of Boston University and her current practice location is 1683 Beacon St, Brookline, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 461-6936.

Dr Theresa Elaine Gilmore is licensed to practice in Massachusetts (license number 7990) 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 1548356363.

Contact Information

	Dr Theresa Elaine Gilmore, PHD
	1683 Beacon St, Brookline, MA 02445-4495
	(617) 461-6936
	(617) 353-5539

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Theresa Elaine Gilmore
Gender	Female
Speciality	Clinical Psychologist
Experience	24 Years
Location	1683 Beacon St, Brookline, Massachusetts
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 Theresa Elaine Gilmore graduated from medical school in 2000

NPI Data:

NPI Number: 1548356363
Provider Enumeration Date: 10/05/2006
Last Update Date: 11/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1153336748
Enrollment ID: I20060220000029

Medical Identifiers

Medical identifiers for Dr Theresa Elaine Gilmore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548356363	NPI	-	NPPES
2053338	Other	MA	CIGNA PROVIDER #
W06227	Other	MA	BLUE CROSS BLUE SHIELD #
7813643	Other	MA	AETNA PROVIDER #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	989 (New Hampshire)	Secondary
103TC0700X	Psychologist - Clinical	PSY-2023-0082 (New Mexico)	Secondary
103TC0700X	Psychologist - Clinical	7990 (Massachusetts)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Trustees Of Boston University	8921070822	42

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 Theresa Elaine Gilmore allows following entities to bill medicare on her behalf.

Entity Name	Trustees Of Boston University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053419598 PECOS PAC ID: 8921070822 Enrollment ID: O20090107000255

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 Theresa Elaine Gilmore 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 Theresa Elaine Gilmore, PHD 1683 Beacon St, Brookline, MA 02445-4495 Ph: (617) 461-6936	Dr Theresa Elaine Gilmore, PHD 1683 Beacon St, Brookline, MA 02445-4495 Ph: (617) 461-6936

Reviews and Comments

Psychologist in Brookline, MA

Dr. Amaro J Laria, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1101 Beacon St, Suite Two East, Brookline, MA 02446 Phone: 617-608-0061
Dr. Risa M Weinrit, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1419 Beacon St, Brookline, MA 02446 Phone: 617-566-4230
Dr. Judith Wilner Lawrence, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1577 Beacon St, Brookline, MA 02446 Phone: 617-739-1212 Fax: 617-731-8585
Dr. Graham Garwood, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1269 Beacon St Ste 3, Brookline, MA 02446 Phone: 617-834-4235
Perry Lee Belfer, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1419 Beacon St, Brookline, MA 02446 Phone: 857-260-6484
Dr. Craig Douglas Burns, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 382 Washington St, Brookline, MA 02445 Phone: 617-447-5572
Margaret Elizabeth Guyer, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1101 Beacon St, Brookline, MA 02446 Phone: 617-262-7600

Dr Theresa Elaine Gilmore, PHD - Medicare Psychologist in Brookline, MA