R Scott Liebl, MD is a
Surgery physician based in Oconto Falls, Wisconsin. R Scott Liebl is licensed to practice in Wisconsin (license number 21763020) and his current practice location is 835 S Main St, Suite 1, Oconto Falls, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 846-8424.
NPI number for R Scott Liebl is 1639166853 and his current mailing address is 835 S Main St, Suite 1, Oconto Falls, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639166853.
Physician's Profile
Full Name | R Scott Liebl |
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Gender | Male |
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Speciality | Surgery |
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Location | 835 S Main St, Oconto Falls, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639166853
- Provider Enumeration Date: 10/03/2005
- Last Update Date: 09/02/2014
Medical Identifiers
Medical identifiers for R Scott Liebl such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639166853 | NPI | - | NPPES |
11014110 | Medicaid | WI | |
1851477913 | Other | | NPI |
390848401050 | Other | WI | BXBS |
30189000 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 21763020 (Wisconsin) | 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. R Scott Liebl is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
R Scott Liebl, MD 835 S Main St, Suite 1, Oconto Falls, WI 54154-1241 Ph: (920) 846-8424 | R Scott Liebl, MD 835 S Main St, Suite 1, Oconto Falls, WI 54154-1241 Ph: (920) 846-8424 |
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