Dr Jacob Vaughn Liljenquist, DMD - Medicare Dentist in Pocatello, ID

Dr Jacob Vaughn Liljenquist, DMD is a medicare enrolled "Dentist - General Practice" provider in Pocatello, Idaho. His current practice location is 1000 N 8th Ave, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 232-3368.

Dr Jacob Vaughn Liljenquist is licensed to practice in Utah (license number 7754866-9921) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508172107.

Contact Information

Dr Jacob Vaughn Liljenquist, DMD
1000 N 8th Ave,
Pocatello, ID 83201-5757
(208) 232-3368
(208) 776-5016

Map and Direction




Healthcare Provider's Profile

Full NameDr Jacob Vaughn Liljenquist
GenderMale
SpecialityDentist - General Practice
Location1000 N 8th Ave, Pocatello, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508172107
  • Provider Enumeration Date: 08/20/2010
  • Last Update Date: 05/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0840577292
  • Enrollment ID: I20170511002648

Medical Identifiers

Medical identifiers for Dr Jacob Vaughn Liljenquist such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508172107NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 7754866-9921 (Utah)Primary
122300000XDentist 7754866-9921 (Utah)Secondary
122300000XDentist DE60162914 (Washington)Secondary
1223D0001XDentist - Dental Public Health D4811 (Idaho)Secondary

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 Jacob Vaughn Liljenquist 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 AddressPractice Location Address
Dr Jacob Vaughn Liljenquist, DMD
9435 Castle Oaks Dr,
Fountain, CO 80817-4517

Ph: (702) 426-7558
Dr Jacob Vaughn Liljenquist, DMD
1000 N 8th Ave,
Pocatello, ID 83201-5757

Ph: (208) 232-3368

Reviews and Comments


Dentist in Pocatello, ID

Dr. Duane J Williams, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1130 Call Creek Drive, Pocatello, ID 83201
Phone: 208-232-8410    Fax: 208-233-4952
Tyler Geyen, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 465 Memorial Dr, Pocatello, ID 83201
Phone: 208-282-3289    
Dr. Cory Veigel, DMD
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Medicare: Not Enrolled in Medicare
Practice Location: 465 Memorial Dr, Pocatello, ID 83201
Phone: 208-282-6000    
Carl B Holm, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 350 E Cedar St Ste A, Pocatello, ID 83201
Phone: 208-233-2525    Fax: 208-233-2523
Dr. Nicola G Zaboura,
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Medicare: Not Enrolled in Medicare
Practice Location: 921 S 8th Ave Stop 8088, Pocatello, ID 83209
Phone: 440-623-1264    
Scott Perkins,
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Medicare: Not Enrolled in Medicare
Practice Location: 465 Memorial Dr, Pocatello, ID 83201
Phone: 208-282-6000    
Devin Wright Belnap, DMD
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Medicare: Not Enrolled in Medicare
Practice Location: 625 E Alameda Rd, Pocatello, ID 83201
Phone: 208-237-1567    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.