Bobbie Liechty, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Providence, Utah. Her current practice location is
585 N 400 E, Providence, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 512-9536.
Bobbie Liechty is licensed to practice in Utah (license number 11995049-4102) 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 1417528738.
Healthcare Provider's Profile
Full Name | Bobbie Liechty |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 585 N 400 E, Providence, Utah |
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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: 1417528738
- Provider Enumeration Date: 07/07/2021
- Last Update Date: 07/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 8224481247
- Enrollment ID: I20240125004590
Medical Identifiers
Medical identifiers for Bobbie Liechty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417528738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 11995049-4102 (Utah) | 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. Bobbie Liechty allows following entities to bill medicare on her behalf.
Provider Name | Utah State University |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1235374984 PECOS PAC ID: 3476715491 Enrollment ID: O20120508000468 |
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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. Bobbie Liechty 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 |
Bobbie Liechty, MA, CCC-SLP 585 N 400 E, Providence, UT 84332-9525 Ph: () - | Bobbie Liechty, MA, CCC-SLP 585 N 400 E, Providence, UT 84332-9525 Ph: (435) 512-9536 |
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