Tarah Lynn Liljeberg, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Siren, Wisconsin. Her current practice location is
24178 First Ave., Ste 2, Siren, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 349-8913.
Tarah Lynn Liljeberg is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558741645.
Healthcare Provider's Profile
| Full Name | Tarah Lynn Liljeberg |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 24178 First Ave., Ste 2, Siren, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558741645
- Provider Enumeration Date: 06/03/2015
- Last Update Date: 11/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 3577826239
- Enrollment ID: I20180410002036
Medical Identifiers
Medical identifiers for Tarah Lynn Liljeberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558741645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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. Tarah Lynn Liljeberg allows following entities to bill medicare on her behalf.
| Entity Name | Mcpst Management Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619918877
PECOS PAC ID: 4880660778
Enrollment ID: O20040902000333 |
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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. Tarah Lynn Liljeberg 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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Tarah Lynn Liljeberg, LCSW
Po Box 381,
Siren, WI 54872-0381
Ph: (715) 349-8913 | Tarah Lynn Liljeberg, LCSW
24178 First Ave., Ste 2,
Siren, WI 54872-0381
Ph: (715) 349-8913 |
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