Dr Maryana Liedke, DO - Medicare Neurology in Port Jefferson Station, NY

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Dr Maryana Liedke, DO is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Port Jefferson Station, New York. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2013 and has 11 years of diverse experience with area of expertise as Neurology. She is a member of the group practice True North Medical At North Suffolk, Pllc and her current practice location is 1010 Route 112 Ste 300, Port Jefferson Station, New York. You can reach out to her office (for appointments etc.) via phone at (631) 364-9119.

Dr Maryana Liedke is licensed to practice in New York (license number 288433) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386987956.

Contact Information

Dr Maryana Liedke, DO
1010 Route 112 Ste 300,
Port Jefferson Station, NY 11776-3386
(631) 364-9119
Not Available

Map and Direction




Physician's Profile

Full NameDr Maryana Liedke
GenderFemale
SpecialityNeurology
Experience11 Years
Location1010 Route 112 Ste 300, Port Jefferson Station, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Maryana Liedke attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2013
  NPI Data:
  • NPI Number: 1386987956
  • Provider Enumeration Date: 04/02/2013
  • Last Update Date: 12/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3274881800
  • Enrollment ID: I20180730002270

Medical Identifiers

Medical identifiers for Dr Maryana Liedke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386987956NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology 288433 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Charles HospitalPort jefferson, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
True North Medical At North Suffolk, Pllc034561808814

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 Maryana Liedke allows following entities to bill medicare on her behalf.
Entity NameNorth Suffolk Neurology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316335540
PECOS PAC ID: 8729305602
Enrollment ID: O20150403000090
Entity NameTodd J Maltese Do Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902290869
PECOS PAC ID: 0941512750
Enrollment ID: O20150708001479
Entity NameTrue North Medical At North Suffolk, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639804628
PECOS PAC ID: 0345618088
Enrollment ID: O20221130001067

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 Maryana Liedke 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 Maryana Liedke, DO
1010 Route 112 Ste 300,
Port Jefferson Station, NY 11776-3386

Ph: (631) 364-9119		Dr Maryana Liedke, DO
1010 Route 112 Ste 300,
Port Jefferson Station, NY 11776-3386

Ph: (631) 364-9119

Reviews and Comments


Psychiatry & Neurology Doctors in Port Jefferson Station, NY

Katherine G Roth, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 12 Medical Dr, Ste D, Port Jefferson Station, NY 11776
Phone: 631-928-1222    Fax: 631-928-8605
Dr. Warren Daniel Spinner, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 5 Medical Dr, Port Jefferson Station, NY 11776
Phone: 631-364-9119    Fax: 631-364-9118
Kenneth A Schreiber, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 55 Nesconset Hwy, Suite 4, Port Jefferson Station, NY 11776
Phone: 631-928-8331    Fax: 631-928-8331
Dr. John C Pomeroy, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 5 Medical Dr, Port Jefferson Station, NY 11776
Phone: 631-632-3785    
Dr. Randall Solomon,
Psychiatry & Neurology
Medicare: May Accept Medicare Assignments
Practice Location: 55 Nesconset Hwy, Suite 1, Port Jefferson Station, NY 11776
Phone: 631-474-8099    
Dr. Gerardo Tolentino, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 5 Medical Dr, Port Jefferson Station, NY 11776
Phone: 631-632-3785    

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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.

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