Dr Ronald Demetri Liskanich, DO in Upland, CA

Dr Ronald Demetri Liskanich, DO is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Upland, California. He went to Kansas City University Of Med & Biosciences, College Of Osteo Med and graduated in 1983 and has 41 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice J Robert West Md Inc and his current practice location is 954 W Foothill Blvd Ste B, Upland, California. You can reach out to his office (for appointments etc.) via phone at (909) 949-7500.

Dr Ronald Demetri Liskanich is licensed to practice in California (license number 20A4952) 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 1245391820.

Contact Information

	Dr Ronald Demetri Liskanich, DO
	954 W Foothill Blvd Ste B, Upland, CA 91786
	(909) 949-7500
	(909) 946-1133

Map and Direction

Physician's Profile

Full Name	Dr Ronald Demetri Liskanich
Gender	Male
Speciality	Dermatology
Experience	41 Years
Location	954 W Foothill Blvd Ste B, Upland, California
Accepts Medicare Assignments	Yes. 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 Ronald Demetri Liskanich attended and graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 1983

NPI Data:

NPI Number: 1245391820
Provider Enumeration Date: 12/13/2006
Last Update Date: 10/18/2018

Medicare PECOS Information:

PECOS PAC ID: 3173551496
Enrollment ID: I20050728000724

Medical Identifiers

Medical identifiers for Dr Ronald Demetri Liskanich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245391820	NPI	-	NPPES
00AX49520	Medicaid	CA
020A49520	Other	CA	BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207NS0135X	Dermatology - Procedural Dermatology	20A4952 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
San Antonio Regional Hospital	Upland, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
J Robert West Md Inc	8729990973	131

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 Ronald Demetri Liskanich allows following entities to bill medicare on his behalf.

Entity Name	J Robert West Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932154788 PECOS PAC ID: 8729990973 Enrollment ID: O20031105000239

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 Ronald Demetri Liskanich 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 Ronald Demetri Liskanich, DO 954 W Foothill Blvd Ste B, Upland, CA 91786-3782 Ph: (909) 949-7500	Dr Ronald Demetri Liskanich, DO 954 W Foothill Blvd Ste B, Upland, CA 91786 Ph: (909) 949-7500

Reviews and Comments

Dermatology Doctors in Upland, CA

Andrea Paola Passalacqua, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 886 W Foothill Blvd Ste G, Upland, CA 91786 Phone: 909-949-6500 Fax: 909-946-1133
Tan Khac Nguyen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1310 San Bernardino Rd, Suite 207, Upland, CA 91786 Phone: 909-946-8600 Fax: 909-946-8604
Dr. Sandra Lee Rebish, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 859 E Foothill Blvd Ste B, Upland, CA 91786 Phone: 909-981-8929 Fax: 909-946-9740
Dr. Arthur Stanley Zimmermann, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 930 E Foothill Blvd, Suite 1, Upland, CA 91786 Phone: 909-946-7271 Fax: 909-949-0831
Jeffrey Craig Rebish, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 859 E Foothill Blvd Ste B, Upland, CA 91786 Phone: 909-981-8929 Fax: 909-946-9740
Dr. Gloria Jane Stevens, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 954 W Foothill Blvd Ste B, Upland, CA 91786 Phone: 909-949-7500 Fax: 909-946-1133

Dr Ronald Demetri Liskanich, DO - Medicare Dermatology in Upland, CA