Mr Jerry M Liddell, DPM in Saint Louis, MO - Medicare Podiatry Provider

Mr Jerry M Liddell, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Saint Louis, Missouri. He went to Kent State University College Of Podiatric Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Washington University and his current practice location is 4901 Forest Park Ave, Div Surg Accs Podiatry, Ste 420, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 747-4769.

Mr Jerry M Liddell is licensed to practice in Missouri (license number 2005018735) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700872611.

Contact Information

	Mr Jerry M Liddell, DPM
	4901 Forest Park Ave, Div Surg Accs Podiatry, Ste 420, Saint Louis, MO 63108-1495
	(314) 747-4769
	(888) 824-2176

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jerry M Liddell
Gender	Male
Speciality	Podiatry
Experience	22 Years
Location	4901 Forest Park Ave, Saint Louis, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jerry M Liddell attended and graduated from Kent State University College Of Podiatric Medicine in 2002

NPI Data:

NPI Number: 1700872611
Provider Enumeration Date: 09/26/2005
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 7810929759
Enrollment ID: I20050831000541

Medical Identifiers

Medical identifiers for Mr Jerry M Liddell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700872611	NPI	-	NPPES
307371203	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	2005018735 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christian Hospital Northeast	Saint louis, MO	Hospital
Barnes Jewish Hospital	Saint louis, MO	Hospital
Barnes-jewish West County Hospital	Creve coeur, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Washington University	9830008770	2516

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. Mr Jerry M Liddell allows following entities to bill medicare on his behalf.

Provider Name	Washington University
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1134169568 PECOS PAC ID: 9830008770 Enrollment ID: O20040317000959

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. Mr Jerry M 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
Mr Jerry M Liddell, DPM Po Box 60352, Saint Louis, MO 63160-0352 Ph: (314) 747-4769	Mr Jerry M Liddell, DPM 4901 Forest Park Ave, Div Surg Accs Podiatry, Ste 420, Saint Louis, MO 63108-1495 Ph: (314) 747-4769

Reviews and Comments

Podiatrist in Saint Louis, MO

Foot Healers Podiatrist Medicare: Medicare Enrolled Practice Location: 8534 Eager Rd, Saint Louis, MO 63144 Phone: 314-785-0692 Fax: 314-785-0696
Dr. Allen M Jacobs, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6400 Clayton Rd, Ste 402, Saint Louis, MO 63117 Phone: 314-367-6545 Fax: 314-367-7038
The Foot And Ankle Center Sunset Hills Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3844 S Lindbergh Blvd, Suite 220, Saint Louis, MO 63127 Phone: 314-525-0545 Fax: 314-525-0536
Thomas J. Kirisits, D.p.m., P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 1027 Bellevue Ave, Suite 145, Saint Louis, MO 63117 Phone: 314-644-6663 Fax: 314-644-1354
Raymond A. Brickhouse, Dpm Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 6400 Clayton Rd, Suite 412, Saint Louis, MO 63117 Phone: 314-381-1800 Fax: 866-927-4145
Dr. Lisa A Debernardi, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5108 Hampton Ave, Saint Louis, MO 63109 Phone: 314-821-3668 Fax: 888-966-0079
Dr. Perry Kent Geistler, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12152 Tesson Ferry Rd, Saint Louis, MO 63128 Phone: 314-849-7600 Fax: 314-842-0106

Mr Jerry M Liddell, DPM - Medicare Podiatrist in Saint Louis, MO