Mrs Wanda B Liddell, ARNP is a medicare enrolled "Family Medicine" physician in Cross City, Florida. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tri-county Primary Care Inc and her current practice location is
306 Ne Hwy 351, Cross City, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 498-3372.
Mrs Wanda B Liddell is licensed to practice in Florida (license number 1569472) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649346271.
Physician's Profile
| Full Name | Mrs Wanda B Liddell |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 26 Years |
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| Location | 306 Ne Hwy 351, Cross City, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Wanda B Liddell graduated from medical school in 1998
NPI Data:
- NPI Number: 1649346271
- Provider Enumeration Date: 11/27/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2567373384
- Enrollment ID: I20041014000290
Medical Identifiers
Medical identifiers for Mrs Wanda B Liddell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649346271 | NPI | - | NPPES |
| Y7250 | Other | FL | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 1569472 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Tri-county Primary Care Inc | 7214848027 | 3 |
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. Mrs Wanda B Liddell allows following entities to bill medicare on her behalf.
| Entity Name | Tri-county Primary Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437225067
PECOS PAC ID: 7214848027
Enrollment ID: O20040608000271 |
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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. Mrs Wanda B Liddell 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 |
|---|
Mrs Wanda B Liddell, ARNP
306 Ne Hwy 351,
Cross City, FL 32628
Ph: (352) 498-3372 | Mrs Wanda B Liddell, ARNP
306 Ne Hwy 351,
Cross City, FL 32628
Ph: (352) 498-3372 |
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