Mr Curtis J Liedtke, DO is a medicare enrolled "Family Medicine" physician in Hill City, South Dakota. His current practice location is
118 Ponderosa Ave, Hill City, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 394-2118.
Mr Curtis J Liedtke is licensed to practice in South Dakota (license number 2411) 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 1770556599.
Physician's Profile
Full Name | Mr Curtis J Liedtke |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 118 Ponderosa Ave, Hill City, South Dakota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770556599
- Provider Enumeration Date: 02/10/2006
- Last Update Date: 11/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 4688563521
- Enrollment ID: I20040310001576
Medical Identifiers
Medical identifiers for Mr Curtis J Liedtke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770556599 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 2411 (South Dakota) | 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. Mr Curtis J Liedtke allows following entities to bill medicare on his behalf.
Entity Name | Monument Health Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588185268 PECOS PAC ID: 5991616427 Enrollment ID: O20031111000854 |
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Entity Name | Great Plains Geriatrics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710582903 PECOS PAC ID: 4082027867 Enrollment ID: O20210115002325 |
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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 Curtis J Liedtke 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 |
Mr Curtis J Liedtke, DO 118 Ponderosa Ave, Hill City, SD 57745-6058 Ph: () - | Mr Curtis J Liedtke, DO 118 Ponderosa Ave, Hill City, SD 57745-6058 Ph: (605) 394-2118 |
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