Dr Susan M Lichtenberger, MD is a
Pediatrics physician based in Russell, Kentucky. Dr Susan M Lichtenberger is licensed to practice in Kentucky (license number 29626) and her current practice location is 105 Thompson Rd, Russell, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(606) 833-8480.
NPI number for Dr Susan M Lichtenberger is 1629121850 and her current mailing address is 105 Thompson Rd, Russell, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629121850.
Physician's Profile
Full Name | Dr Susan M Lichtenberger |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 105 Thompson Rd, Russell, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629121850
- Provider Enumeration Date: 01/19/2007
- Last Update Date: 08/27/2012
Medical Identifiers
Medical identifiers for Dr Susan M Lichtenberger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629121850 | NPI | - | NPPES |
64296262 | Medicaid | KY | |
0918645 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 29626 (Kentucky) | 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 Susan M Lichtenberger is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Susan M Lichtenberger, MD 105 Thompson Rd, Russell, KY 41169-1645 Ph: (606) 833-8480 | Dr Susan M Lichtenberger, MD 105 Thompson Rd, Russell, KY 41169-1645 Ph: (606) 833-8480 |
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