Carol Lee Lieber, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Campo, California. She went to University Of Arizona College Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Centro De Salud De La Comunidad De San Ysidro, Inc and her current practice location is
31115 Highway 94, Campo, California. You can reach out to her office (for appointments etc.) via phone at
(619) 478-5254.
Carol Lee Lieber is licensed to practice in California (license number NP20849) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487889846.
Provider's Profile
| Full Name | Carol Lee Lieber |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 16 Years |
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| Location | 31115 Highway 94, Campo, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carol Lee Lieber attended and graduated from University Of Arizona College Of Medicine in 2008
NPI Data:
- NPI Number: 1487889846
- Provider Enumeration Date: 05/28/2009
- Last Update Date: 11/01/2012
Medicare PECOS Information:
- PECOS PAC ID: 6709938269
- Enrollment ID: I20140927000285
Medical Identifiers
Medical identifiers for Carol Lee Lieber such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487889846 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP3323 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | NP20849 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Centro De Salud De La Comunidad De San Ysidro, Inc | 6901709435 | 207 |
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. Carol Lee Lieber allows following entities to bill medicare on her behalf.
| Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124782685
PECOS PAC ID: 6901709435
Enrollment ID: O20040130000711 |
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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. Carol Lee Lieber 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 |
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Carol Lee Lieber, NP-C
31115 Highway 94,
Campo, CA 91906-3133
Ph: (619) 478-5254 | Carol Lee Lieber, NP-C
31115 Highway 94,
Campo, CA 91906-3133
Ph: (619) 478-5254 |
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