Miss Erica Stephanie Liedtke, PA-C is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Bluffton, South Carolina. Her current practice location is
38 Sheridan Park Cir Ste F, Bluffton, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 757-6744.
Miss Erica Stephanie Liedtke is licensed to practice in South Carolina (license number PA4579) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578273306.
Physician's Profile
Full Name | Miss Erica Stephanie Liedtke |
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Gender | Female |
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Speciality | Anesthesiology - Pain Medicine |
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Location | 38 Sheridan Park Cir Ste F, Bluffton, South Carolina |
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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: 1578273306
- Provider Enumeration Date: 12/02/2022
- Last Update Date: 12/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 3779955711
- Enrollment ID: I20230221000688
Medical Identifiers
Medical identifiers for Miss Erica Stephanie Liedtke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578273306 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207LP2900X | Anesthesiology - Pain Medicine | PA4579 (South Carolina) | 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. Miss Erica Stephanie Liedtke 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 |
Miss Erica Stephanie Liedtke, PA-C 3220 Hatchet Bay Dr Apt 3325, Charleston, SC 29414-5213 Ph: (828) 242-3444 | Miss Erica Stephanie Liedtke, PA-C 38 Sheridan Park Cir Ste F, Bluffton, SC 29910-7023 Ph: (843) 757-6744 |
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