David Gordon Liddle, MD in Logan, UT - Medicare Sports Medicine

David Gordon Liddle, MD is a medicare enrolled "Emergency Medicine - Sports Medicine" physician in Logan, Utah. He went to University Of Utah School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 1350 N 500 E, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 716-2800.

David Gordon Liddle is licensed to practice in Utah (license number 7153530-1205) 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 1922251982.

Contact Information

	David Gordon Liddle, MD
	1350 N 500 E, Logan, UT 84341-2400
	(435) 716-2800
	Not Available

Map and Direction

Physician's Profile

Full Name	David Gordon Liddle
Gender	Male
Speciality	Sports Medicine
Experience	17 Years
Location	1350 N 500 E, Logan, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

David Gordon Liddle attended and graduated from University Of Utah School Of Medicine in 2007

NPI Data:

NPI Number: 1922251982
Provider Enumeration Date: 11/03/2008
Last Update Date: 08/13/2024

Medicare PECOS Information:

PECOS PAC ID: 1850579087
Enrollment ID: I20191031000845

Medical Identifiers

Medical identifiers for David Gordon Liddle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922251982	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	7153530-1205 (Utah)	Secondary
207X00000X	Orthopaedic Surgery	MD46150 (Tennessee)	Secondary
207PS0010X	Emergency Medicine - Sports Medicine	7153530-1205 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermountain Healthcare Services, Inc	1850209420	3228

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. David Gordon Liddle allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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. David Gordon Liddle 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
David Gordon Liddle, MD 1350 N 500 E, Logan, UT 84341-2400 Ph: () -	David Gordon Liddle, MD 1350 N 500 E, Logan, UT 84341-2400 Ph: (435) 716-2800

Reviews and Comments

Emergency Medicine Doctors in Logan, UT

Steven G. Nail, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-2250 Fax: 435-716-2250
Douglas P Plowman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000
Mr. Jacob Sanderson, FNP-BC Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-2000
Theral Michael Bishop, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000
Rodney L Hammer, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 179 N Main St Ste 309, Logan, UT 84321 Phone: 435-755-1670
Ryan J Stolworthy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000
Richard J Ingebretsen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000

David Gordon Liddle, MD - Medicare Sports Medicine in Logan, UT