Dr Thaddeus R Liebig, PT, DPT,ATC is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Hartington, Nebraska. His current practice location is
401 W Darlene St, Hartington, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(402) 254-3985.
Dr Thaddeus R Liebig is licensed to practice in Nebraska (license number 1668) 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 1023019544.
Healthcare Provider's Profile
| Full Name | Dr Thaddeus R Liebig |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 401 W Darlene St, Hartington, Nebraska |
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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: 1023019544
- Provider Enumeration Date: 08/09/2005
- Last Update Date: 07/29/2011
Medicare PECOS Information:
- PECOS PAC ID: 7315297546
- Enrollment ID: I20181212002804
Medical Identifiers
Medical identifiers for Dr Thaddeus R Liebig such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023019544 | NPI | - | NPPES |
| 5834080 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 1065 (South Dakota) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 1668 (Nebraska) | 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. Dr Thaddeus R Liebig allows following entities to bill medicare on his behalf.
| Provider Name | Community Rehab Of Iowa Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1780751149
PECOS PAC ID: 9830190131
Enrollment ID: O20070130000335 |
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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. Dr Thaddeus R Liebig 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 |
|---|
Dr Thaddeus R Liebig, PT, DPT,ATC
401 W Darlene St, Po Box 107,
Hartington, NE 68739-4510
Ph: (402) 254-3985 | Dr Thaddeus R Liebig, PT, DPT,ATC
401 W Darlene St,
Hartington, NE 68739-4510
Ph: (402) 254-3985 |
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