Dr Glen R Liesegang, M D is a medicare enrolled "Family Medicine" physician in Patterson, North Carolina. 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 | |
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| Experience | 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 in
NPI Data:
- NPI Number: 1174584866
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 06/18/2012
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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