Dr Leah Liddle Blitz, DMD is a medicare enrolled "Dentist - General Practice" provider in Lisle, New York. Her current practice location is
3136 U.s. Route 11, Lisle, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 692-4987.
Dr Leah Liddle Blitz is licensed to practice in New York (license number 056790) 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 1811237167.
Healthcare Provider's Profile
Full Name | Dr Leah Liddle Blitz |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 3136 U.s. Route 11, Lisle, New York |
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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: 1811237167
- Provider Enumeration Date: 02/24/2013
- Last Update Date: 10/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375960545
- Enrollment ID: I20200902001611
Medical Identifiers
Medical identifiers for Dr Leah Liddle Blitz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811237167 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 056790 (New York) | 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 Leah Liddle Blitz allows following entities to bill medicare on her behalf.
Entity Name | Finger Lakes Migrant Health Care Project, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114198819 PECOS PAC ID: 0244251486 Enrollment ID: O20051215000087 |
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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 Leah Liddle Blitz 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 Leah Liddle Blitz, DMD 3136 U.s. Route 11, Lisle, NY 13797 Ph: (607) 341-1221 | Dr Leah Liddle Blitz, DMD 3136 U.s. Route 11, Lisle, NY 13797 Ph: (607) 692-4987 |
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