Mr Willie-joe C Liberty, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Richmond, Maine. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Mainegeneral Medical Center and his current practice location is
9 Evergreen Ln, Richmond, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 212-5584.
Mr Willie-joe C Liberty is licensed to practice in Maine (license number LC14369) 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 1215224233.
Healthcare Provider's Profile
| Full Name | Mr Willie-joe C Liberty |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 13 Years |
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| Location | 9 Evergreen Ln, Richmond, Maine |
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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:
- Mr Willie-joe C Liberty graduated from medical school in 2011
NPI Data:
- NPI Number: 1215224233
- Provider Enumeration Date: 06/29/2011
- Last Update Date: 10/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 8820229099
- Enrollment ID: I20140401001792
Medical Identifiers
Medical identifiers for Mr Willie-joe C Liberty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215224233 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | LC14369 (Maine) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mainegeneral Medical Center | 1254245715 | 489 |
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. Mr Willie-joe C Liberty allows following entities to bill medicare on his behalf.
| Entity Name | Health Affiliates Maine, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932413556
PECOS PAC ID: 1951594076
Enrollment ID: O20101021000912 |
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| Entity Name | Mainegeneral Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063716710
PECOS PAC ID: 1254245715
Enrollment ID: O20110408000034 |
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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. Mr Willie-joe C Liberty 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 |
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Mr Willie-joe C Liberty, LCSW
9 Evergreen Ln,
Richmond, ME 04357-4041
Ph: (207) 212-5584 | Mr Willie-joe C Liberty, LCSW
9 Evergreen Ln,
Richmond, ME 04357-4041
Ph: (207) 212-5584 |
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