Dr Glen R Liesegang, M D is a medicare enrolled "Family Medicine" physician in Patterson, North Carolina. He went to University Of Kentucky College Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Appalachian Primary Care Pllc and his current practice location is
1345 Highway 268, Patterson, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(828) 754-6850.
Dr Glen R Liesegang is licensed to practice in North Carolina (license number 31569) 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 1174584866.
Physician's Profile
| Full Name | Dr Glen R Liesegang |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 41 Years |
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| Location | 1345 Highway 268, Patterson, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Glen R Liesegang attended and graduated from University Of Kentucky College Of Medicine in 1983
NPI Data:
- NPI Number: 1174584866
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 06/18/2012
Medicare PECOS Information:
- PECOS PAC ID: 8426181934
- Enrollment ID: I20100804000973
Medical Identifiers
Medical identifiers for Dr Glen R Liesegang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174584866 | NPI | - | NPPES |
| 8951919 | Medicaid | NC | |
| 51919 | Other | NC | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 31569 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Appalachian Primary Care Pllc | 6204204944 | 3 |
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 Glen R Liesegang allows following entities to bill medicare on his behalf.
| Entity Name | High Country Community Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750646741
PECOS PAC ID: 8628225190
Enrollment ID: O20140313001899 |
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| Entity Name | High Country Community Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518620665
PECOS PAC ID: 8628225190
Enrollment ID: O20220228000084 |
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| Entity Name | Appalachian Primary Care Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184349987
PECOS PAC ID: 6204204944
Enrollment ID: O20221130001269 |
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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 Glen R Liesegang 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 |
|---|
Dr Glen R Liesegang, M D
Po Box 319,
Patterson, NC 28661-0319
Ph: (828) 754-6850 | Dr Glen R Liesegang, M D
1345 Highway 268,
Patterson, NC 28661
Ph: (828) 754-6850 |
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