Dr Edwin Boediono Liem, MD - Medicare Anesthesiology in New Albany, IN

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Dr Edwin Boediono Liem, MD is a medicare enrolled "Anesthesiology" physician in New Albany, Indiana. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Associated Anesthesiologists Of Fort Wayne, Pc and his current practice location is 1850 State St, New Albany, Indiana. You can reach out to his office (for appointments etc.) via phone at (502) 625-5584.

Dr Edwin Boediono Liem is licensed to practice in Indiana (license number 01066649A) 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 1952354623.

Contact Information

Dr Edwin Boediono Liem, MD
1850 State St,
New Albany, IN 47150-4990
(502) 625-5584
(502) 426-2264

Map and Direction




Physician's Profile

Full NameDr Edwin Boediono Liem
GenderMale
SpecialityAnesthesiology
Experience30 Years
Location1850 State St, New Albany, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Edwin Boediono Liem graduated from medical school in 1994
  NPI Data:
  • NPI Number: 1952354623
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 01/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799742367
  • Enrollment ID: I20100217000619

Medical Identifiers

Medical identifiers for Dr Edwin Boediono Liem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952354623NPI-NPPES
64041981MedicaidKY
P00819295OtherINRAILROAD MEDICARE
000000640496OtherINANTHEM
50027044OtherINPASSPORT
111870OtherINSIHO
50027044OtherINPASSPORT ADVANTAGE
200366540MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 36354 (Kentucky)Secondary
207L00000XAnesthesiology 01066649A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Physicians' Medical Center LlcNew albany, INHospital
Baptist Health FloydNew albany, INHospital
Baptist Health LouisvilleLouisville, KYHospital
Jewish Hospital & St Mary's HealthcareLouisville, KYHospital
Norton Hospitals, IncLouisville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Associated Anesthesiologists Of Fort Wayne, Pc2264412444103

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. Dr Edwin Boediono Liem allows following entities to bill medicare on his behalf.
Entity NameAssociated Anesthesiologists Of Fort Wayne, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538159140
PECOS PAC ID: 2264412444
Enrollment ID: O20040720001562
Entity NameIndiana University Health Care Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902032832
PECOS PAC ID: 5799755864
Enrollment ID: O20040727000955
Entity NameNorthstar Anesthesia Of Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043561541
PECOS PAC ID: 1153576905
Enrollment ID: O20130227000297
Entity NameOne Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174513246
PECOS PAC ID: 7113816174
Enrollment ID: O20140204000105
Entity NameU S Anesthesia Partners Of Kentucky Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144901042
PECOS PAC ID: 9335502996
Enrollment ID: O20230912003685

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. Dr Edwin Boediono Liem 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 AddressPractice Location Address
Dr Edwin Boediono Liem, MD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: () -		Dr Edwin Boediono Liem, MD
1850 State St,
New Albany, IN 47150-4990

Ph: (502) 625-5584

Reviews and Comments


Anesthesiology Doctors in New Albany, IN

Mr. Shantharam H Shetty, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 1850 State St, New Albany, IN 47150
Phone: 502-625-5584    Fax: 502-426-2264
Dr. Martin Brieschke, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1850 State St, New Albany, IN 47150
Phone: 502-625-5584    Fax: 502-426-2264
Dr. Barry H Miller, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1850 State St, New Albany, IN 47150
Phone: 502-625-5584    Fax: 502-426-2264
Arthur G. Duncan, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1850 State St, New Albany, IN 47150
Phone: 502-625-5584    Fax: 502-426-2264
Andy Lee, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1850 State St, New Albany, IN 47150
Phone: 502-625-5584    
Dr. Keun Yung Yu, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1850 State St, New Albany, IN 47150
Phone: 502-625-5584    Fax: 502-426-2264
Ms. Tanvir B. Shah, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1210 Lexington Drive, New Albany, IN 47150
Phone: 812-948-2400    Fax: 812-948-2400

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.