Dr David Albert Liebelt, MD, PHD | |
820 E Grant St, Appleton, WI 54911-3483 | |
(920) 831-5050 | |
Not Available |
Full Name | Dr David Albert Liebelt |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 16 Years |
Location | 820 E Grant St, Appleton, Wisconsin |
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 |
---|---|---|---|
1205132321 | NPI | - | NPPES |
201236820 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 66283 (Wisconsin) | Secondary |
207X00000X | Orthopaedic Surgery | 66283 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
Thedacare Medical Center - Shawano | Shawano, WI | Hospital |
Thedacare Medical Center - New London | New london, WI | Hospital |
Berlin Memorial Hospital | Berlin, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Thedacare, Incorporated | 1759294887 | 509 |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Entity Name | Thedacare, Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Mailing Address | Practice Location Address |
---|---|
Dr David Albert Liebelt, MD, PHD 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (920) 831-5050 | Dr David Albert Liebelt, MD, PHD 820 E Grant St, Appleton, WI 54911-3483 Ph: (920) 831-5050 |
Thomas G Hoeft, D.O. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1531 S Madison St, Appleton, WI 54915 Phone: 920-996-3700 Fax: 920-996-3739 | |
Karen Fields, PA Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2105 E. Enterprise Dr, Appleton, WI 54913 Phone: 920-731-3111 Fax: 920-738-8789 | |
Eric W Erickson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 820 E Grant St, Appleton, WI 54911 Phone: 920-831-5050 | |
Dr. Etienne A. Mejia, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 277 Altenhofen Dr, Appleton, WI 54913 Phone: 920-993-1643 Fax: 920-993-1645 | |
Scott Preston Olvey, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2323 N Casaloma Dr, Appleton, WI 54913 Phone: 920-730-8833 Fax: 920-831-2968 | |
Nickolas Linkous, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 820 E Grant St, Appleton, WI 54911 Phone: 920-831-5050 Fax: 920-725-6535 |