Amy R Leibli, NP is a medicare enrolled "Nurse Practitioner - Family" in Flatwoods, West Virginia. Her current practice location is
427 Harley Brown Dr, Flatwoods, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(719) 371-8791.
Amy R Leibli is licensed to practice in Colorado (license number APN.0993394-NP) 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 1316456981.
Provider's Profile
| Full Name | Amy R Leibli |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 427 Harley Brown Dr, Flatwoods, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316456981
- Provider Enumeration Date: 09/26/2017
- Last Update Date: 07/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 1759627672
- Enrollment ID: I20190115001223
Medical Identifiers
Medical identifiers for Amy R Leibli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316456981 | NPI | - | NPPES |
| APN.0993394-NP | Other | CO | APN-NP |
| 120130 | Other | WV | NP LICENSE WITH UNRESTRICTED AUTHORITY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | ACPM.0993394-NP (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN.0993394-NP (Colorado) | 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. Amy R Leibli allows following entities to bill medicare on her behalf.
| Entity Name | Sondermind Provider Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760854442
PECOS PAC ID: 9537572490
Enrollment ID: O20210113002826 |
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| Entity Name | Mind And Body Integration |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811659584
PECOS PAC ID: 8325438419
Enrollment ID: O20211203001504 |
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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. Amy R Leibli 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 |
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Amy R Leibli, NP
427 Harley Brown Dr,
Flatwoods, WV 26621-7704
Ph: (719) 371-8791 | Amy R Leibli, NP
427 Harley Brown Dr,
Flatwoods, WV 26621-7704
Ph: (719) 371-8791 |
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