Jeremy J Liesveld, DC, FNP-C is a medicare enrolled "Nurse Practitioner - Family" provider in Irving, Texas. He graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Medical Clinic Of North Texas, Pllc and his current practice location is
6161 N State Highway 161, Irving, Texas. You can reach out to his office (for appointments etc.) via phone at
(972) 258-7499.
Jeremy J Liesveld is licensed to practice in Texas (license number AP128486) 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 1417287046.
Healthcare Provider's Profile
| Full Name | Jeremy J Liesveld |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 6161 N State Highway 161, Irving, Texas |
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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. |
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Medical Education and Training:
- Jeremy J Liesveld graduated from medical school in 2015
NPI Data:
- NPI Number: 1417287046
- Provider Enumeration Date: 01/04/2010
- Last Update Date: 10/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557660693
- Enrollment ID: I20160425001266
Medical Identifiers
Medical identifiers for Jeremy J Liesveld such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417287046 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 11339 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP128486 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Medical Clinic Of North Texas, Pllc | 9830084540 | 193 |
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. Jeremy J Liesveld allows following entities to bill medicare on his behalf.
| Provider Name | Medical Clinic Of North Texas, Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1033167234
PECOS PAC ID: 9830084540
Enrollment ID: O20040430001258 |
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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. Jeremy J Liesveld 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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Jeremy J Liesveld, DC, FNP-C
6161 N State Highway 161,
Irving, TX 75038-2220
Ph: (972) 258-7499 | Jeremy J Liesveld, DC, FNP-C
6161 N State Highway 161,
Irving, TX 75038-2220
Ph: (972) 258-7499 |
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