Dr Kenneth B Liberty, PHD is a medicare enrolled "Psychologist - Clinical" provider in Lincoln, Maine. He graduated from medical school in 2002 and has 23 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Northeast Occupational Exchange Inc and his current practice location is
175 W Broadway, Lincoln, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 794-6700.
Dr Kenneth B Liberty is licensed to practice in Maine (license number PS1359) 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 1124371778.
Healthcare Provider's Profile
Full Name | Dr Kenneth B Liberty |
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Gender | Male |
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Speciality | Clinical Psychologist |
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Experience | 23 Years |
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Location | 175 W Broadway, Lincoln, Maine |
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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:
- Dr Kenneth B Liberty graduated from medical school in 2002
NPI Data:
- NPI Number: 1124371778
- Provider Enumeration Date: 10/19/2012
- Last Update Date: 02/26/2015
Medicare PECOS Information:
- PECOS PAC ID: 8820240112
- Enrollment ID: I20121213000188
Medical Identifiers
Medical identifiers for Dr Kenneth B Liberty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124371778 | NPI | - | NPPES |
103T00000X | Other | ME | ANTHEM BLUE CROSS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PS1359 (Maine) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Northeast Occupational Exchange Inc | 5092709345 | 4 |
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 Kenneth B Liberty allows following entities to bill medicare on his behalf.
Entity Name | Sweetser |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538122445 PECOS PAC ID: 8325946213 Enrollment ID: O20031230000339 |
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Entity Name | Northeast Occupational Exchange Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427002138 PECOS PAC ID: 5092709345 Enrollment ID: O20040726000370 |
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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 Kenneth B Liberty 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 Kenneth B Liberty, PHD 175 W Broadway, Lincoln, ME 04457-4000 Ph: (207) 794-6700 | Dr Kenneth B Liberty, PHD 175 W Broadway, Lincoln, ME 04457-4000 Ph: (207) 794-6700 |
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