Jeffrey J Liudahl, MD is a
Otolaryngology physician based in Pierre, South Dakota. Jeffrey J Liudahl is licensed to practice in South Dakota (license number 1242) and his current practice location is 100 Mac Lane, Avera Medical Group Pierre, Pierre, South Dakota. He can be reached at his office (for appointments etc.) via phone at
(605) 945-5202.
NPI number for Jeffrey J Liudahl is 1972618924 and his current mailing address is 100 Mac Lane, Avera Medical Group Pierre, Pierres, South Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972618924.
Physician's Profile
| Full Name | Jeffrey J Liudahl |
|---|
| Gender | Male |
|---|
| Speciality | Otolaryngology |
|---|
| Location | 100 Mac Lane, Pierre, South Dakota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972618924
- Provider Enumeration Date: 08/20/2006
- Last Update Date: 09/04/2012
Medical Identifiers
Medical identifiers for Jeffrey J Liudahl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972618924 | NPI | - | NPPES |
| 6520325 | Medicaid | SD | |
| 6520324 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 1242 (South Dakota) | 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. Jeffrey J Liudahl 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 |
|---|
Jeffrey J Liudahl, MD
100 Mac Lane, Avera Medical Group Pierre,
Pierres, SD 57501
Ph: (605) 945-5202 | Jeffrey J Liudahl, MD
100 Mac Lane, Avera Medical Group Pierre,
Pierre, SD 57501
Ph: (605) 945-5202 |
Reviews and Comments