Mrs Kacie Rianne Liske, PA-C is a medicare enrolled "Physician Assistant" in Eldridge, Iowa. Her current practice location is
601 W Davenport St, Eldridge, Iowa. You can reach out to her office (for appointments etc.) via phone at
(563) 343-0395.
Mrs Kacie Rianne Liske is licensed to practice in Iowa (license number 114799) 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 1043940620.
Provider's Profile
Full Name | Mrs Kacie Rianne Liske |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 601 W Davenport St, Eldridge, Iowa |
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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: 1043940620
- Provider Enumeration Date: 06/15/2022
- Last Update Date: 06/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 2062885213
- Enrollment ID: I20230308003175
Medical Identifiers
Medical identifiers for Mrs Kacie Rianne Liske such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043940620 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 114799 (Iowa) | 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. Mrs Kacie Rianne Liske 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 Kacie Rianne Liske, PA-C 601 W Davenport St, Eldridge, IA 52748-1168 Ph: (563) 343-0395 | Mrs Kacie Rianne Liske, PA-C 601 W Davenport St, Eldridge, IA 52748-1168 Ph: (563) 343-0395 |
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