Dr Henny Liwan, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Brightwaters, New York. Her current practice location is
404 Potter Blvd, Brightwaters, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 376-0055.
Dr Henny Liwan is licensed to practice in Michigan (license number 4301096524) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376855007.
Physician's Profile
| Full Name | Dr Henny Liwan |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology |
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| Location | 404 Potter Blvd, Brightwaters, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376855007
- Provider Enumeration Date: 07/10/2010
- Last Update Date: 12/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 9335365113
- Enrollment ID: I20140731001345
Medical Identifiers
Medical identifiers for Dr Henny Liwan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376855007 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 2020-00262 (North Carolina) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 4301096524 (Michigan) | Primary |
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 Henny Liwan allows following entities to bill medicare on her behalf.
| Entity Name | Marshfield Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590 |
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| Entity Name | Lakeview Medical Center Inc Of Rice Lake |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093201832
PECOS PAC ID: 6103737820
Enrollment ID: O20180817001484 |
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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 Henny Liwan 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 Henny Liwan, MD
404 Potter Blvd,
Brightwaters, NY 11718-1830
Ph: () - | Dr Henny Liwan, MD
404 Potter Blvd,
Brightwaters, NY 11718
Ph: (631) 376-0055 |
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