Jesse Lieberman, MD in Charlotte, NC - Medicare Physical Medicine & Rehabilitation

Jesse Lieberman, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Charlotte, North Carolina. His current practice location is 1100 Blythe Blvd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 355-9330.

Jesse Lieberman is licensed to practice in North Carolina (license number 2006-01865) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811027162.

Contact Information

	Jesse Lieberman, MD
	1100 Blythe Blvd, Charlotte, NC 28203-5814
	(704) 355-9330
	Not Available

Map and Direction

Physician's Profile

Full Name	Jesse Lieberman
Gender	Male
Speciality	Physical Medicine & Rehabilitation
Location	1100 Blythe Blvd, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811027162
Provider Enumeration Date: 03/06/2007
Last Update Date: 09/27/2021

Medicare PECOS Information:

PECOS PAC ID: 8820135494
Enrollment ID: I20091030000329

Medical Identifiers

Medical identifiers for Jesse Lieberman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811027162	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	2006-01865 (North Carolina)	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. Jesse Lieberman allows following entities to bill medicare on his behalf.

Entity Name	Carolinas Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116

Entity Name	Theoria Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20210429000604

Entity Name	Lightyear Health Clinic North Carolina, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194594077 PECOS PAC ID: 1355784224 Enrollment ID: O20240207002632

Entity Name	Kinetic Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285228585 PECOS PAC ID: 5294141909 Enrollment ID: O20240326000233

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. Jesse Lieberman 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
Jesse Lieberman, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Jesse Lieberman, MD 1100 Blythe Blvd, Charlotte, NC 28203-5814 Ph: (704) 355-9330

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Charlotte, NC

Tiffany Hairston, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2144 Maplecrest Dr, Charlotte, NC 28212 Phone: 980-230-9405
Antonio Tom Howard, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5735 Prosperity Crossing Dr, Ste 2100, Charlotte, NC 28269 Phone: 704-863-4878
William L. Bockenek, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-9330
Mr. George Crosby Iii, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1918 Randolph Rd, Ste 600, Charlotte, NC 28207 Phone: 704-342-0252 Fax: 704-342-1853
Leon M. Chandler, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 10648 Park Rd, Charlotte, NC 28210 Phone: 704-355-9330
Swaroop Sadashiv Gonchikar, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2001 Randolph Rd, Charlotte, NC 28207 Phone: 704-323-2000
Leigh Ann Comerci, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4000

Jesse Lieberman, MD - Medicare Physical Medicine & Rehabilitation in Charlotte, NC