Mr Liban A Hired, MD is a medicare enrolled "Emergency Medicine" physician in Glenco, Minnesota. His current practice location is
1805 Hennepin Ave N, Glenco, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 864-3121.
Mr Liban A Hired is licensed to practice in Minnesota (license number 56573) 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 1700179595.
Physician's Profile
Full Name | Mr Liban A Hired |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 1805 Hennepin Ave N, Glenco, Minnesota |
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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: 1700179595
- Provider Enumeration Date: 05/26/2011
- Last Update Date: 12/22/2014
Medicare PECOS Information:
- PECOS PAC ID: 2769624865
- Enrollment ID: I20130819000732
Medical Identifiers
Medical identifiers for Mr Liban A Hired such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700179595 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 56573 (Minnesota) | Primary |
207Q00000X | Family Medicine | 56573 (Minnesota) | Secondary |
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. Mr Liban A Hired allows following entities to bill medicare on his behalf.
Entity Name | Glencoe Regional Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508885633 PECOS PAC ID: 1759292980 Enrollment ID: O20031119000252 |
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Entity Name | River's Edge Hospital & Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407849367 PECOS PAC ID: 7214849397 Enrollment ID: O20031120000094 |
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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. Mr Liban A Hired 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 |
Mr Liban A Hired, MD 1805 Hennepin Ave N, Glenco, MN 55336 Ph: (320) 864-3121 | Mr Liban A Hired, MD 1805 Hennepin Ave N, Glenco, MN 55336 Ph: (320) 864-3121 |
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