Douglas Liepert, MD | |
53760 Generations Dr, South Bend, IN 46635-1539 | |
(574) 500-2010 | |
(888) 919-1083 |
Full Name | Douglas Liepert |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 35 Years |
Location | 53760 Generations Dr, South Bend, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083675011 | NPI | - | NPPES |
899690300 | Medicaid | MN | |
1083675011 | Medicaid | WI | |
200987130 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 01068512B (Indiana) | Secondary |
207YS0012X | Otolaryngology - Sleep Medicine | 01068512A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Center For Sleep And Nasal Sinus Disorders, Llc | 7911236039 | 12 |
Entity Name | Saint Joseph Regional Medical Center- Plymouth Campus Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538585187 PECOS PAC ID: 9537071337 Enrollment ID: O20031223000588 |
Entity Name | Saint Joseph Regional Medical Center-south Bend Campus Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841245594 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724 |
Entity Name | Allied Physicians Of Michiana, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508191768 PECOS PAC ID: 4486627601 Enrollment ID: O20091216000468 |
Entity Name | Center For Sleep And Nasal Sinus Disorders, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568015485 PECOS PAC ID: 7911236039 Enrollment ID: O20190913002603 |
Mailing Address | Practice Location Address |
---|---|
Douglas Liepert, MD 10001 W Innovation Dr Ste 200, Milwaukee, WI 53226-4851 Ph: (888) 938-3838 | Douglas Liepert, MD 53760 Generations Dr, South Bend, IN 46635-1539 Ph: (574) 500-2010 |
Adam Snoap, Otolaryngology Medicare: Medicare Enrolled Practice Location: 100 Navarre Pl, Ste 4460, South Bend, IN 46601 Phone: 574-235-1010 Fax: 574-232-2064 | |
Maher Abu-hamdan, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6301 University Commons, Suite 360, South Bend, IN 46635 Phone: 574-232-4800 Fax: 574-280-4810 | |
Jon Blake Chadwell, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6301 University Commons, Suite 360, South Bend, IN 46635 Phone: 574-232-4800 Fax: 574-280-4810 | |
Sonia Yuen, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 100 Navarre Pl Ste 4460, South Bend, IN 46601 Phone: 574-235-1010 Fax: 574-232-2064 | |
Stephen T Mctigue, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 6301 University Commons, Suite 360, South Bend, IN 46635 Phone: 574-232-4800 Fax: 574-280-4810 | |
Dr. David J Isaacson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 4460, South Bend, IN 46601 Phone: 574-235-1010 Fax: 574-232-2064 |