Liam Donnelly, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Burlington, Vermont. His current practice location is
111 Colchester Ave, Burlington, Vermont. You can reach out to his office (for appointments etc.) via phone at
(802) 847-2345.
Liam Donnelly is licensed to practice in * (Not Available) (license number ) 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 1386148880.
Physician's Profile
Full Name | Liam Donnelly |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 111 Colchester Ave, Burlington, Vermont |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386148880
- Provider Enumeration Date: 03/20/2018
- Last Update Date: 07/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305100926
- Enrollment ID: I20240805001225
Medical Identifiers
Medical identifiers for Liam Donnelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386148880 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZC0006X | Pathology - Clinical Pathology | 25612 (New Hampshire) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Liam Donnelly allows following entities to bill medicare on his behalf.
Entity Name | Mary Hitchcock Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023092053 PECOS PAC ID: 4486561164 Enrollment ID: O20031126000258 |
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Entity Name | Dartmouth-hitchcock Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442 |
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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. Liam Donnelly 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 |
Liam Donnelly, MD 28 First Ave Apt 2, Montpelier, VT 05602-3118 Ph: (802) 598-4177 | Liam Donnelly, MD 111 Colchester Ave, Burlington, VT 05401-1473 Ph: (802) 847-2345 |
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