Dr Daniel A Liesen, MD | |
927 Broadway St, Quincy, IL 62301-2719 | |
(217) 214-3447 | |
(217) 214-5819 |
Full Name | Dr Daniel A Liesen |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 23 Years |
Location | 927 Broadway St, Quincy, Illinois |
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 |
---|---|---|---|
1386747731 | NPI | - | NPPES |
036115999 | Medicaid | IL | |
036115999 | Other | IL | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036115999 (Illinois) | Secondary |
2086S0127X | Surgery - Trauma Surgery | 036115999 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Blessing Hospital | Quincy, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blessing Hospital | 3072422534 | 349 |
Entity Name | Scheer Surgical Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437333747 PECOS PAC ID: 6800972258 Enrollment ID: O20080325000547 |
Entity Name | Blessing Hospital |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20161005001836 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel A Liesen, MD 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 214-3447 | Dr Daniel A Liesen, MD 927 Broadway St, Quincy, IL 62301-2719 Ph: (217) 214-3447 |
Timothy S Smith, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Harry E Wilkins Iii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Pierre S Charles, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Dr. Mohammad Rizwan Choudhary, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-214-3447 Fax: 217-214-5819 | |
Alan R Nichols, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1017 Abbey Rdg, Quincy, IL 62305 Phone: 217-222-6222 Fax: 217-222-6222 | |
Dr. Michael Anthony Hart, DO Surgery Medicare: May Accept Medicare Assignments Practice Location: 927 Broadway St Ste 231, Quincy, IL 62301 Phone: 217-223-8400 |