Dr Gregg A Liedtka, DMD in Moses Lake, WA - Medicare Dentist Provider

Dr Gregg A Liedtka, DMD is a medicare enrolled "Dentist - General Practice" provider in Moses Lake, Washington. His current practice location is 605 S Coolidge St, Moses Lake, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 765-0674.

Dr Gregg A Liedtka is licensed to practice in Washington (license number DE00010090) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619044286.

Contact Information

	Dr Gregg A Liedtka, DMD
	605 S Coolidge St, Moses Lake, WA 98837
	(509) 765-0674
	(506) 765-6591

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Gregg A Liedtka
Gender	Male
Speciality	Dentist - General Practice
Location	605 S Coolidge St, Moses Lake, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619044286
Provider Enumeration Date: 11/29/2006
Last Update Date: 06/21/2018

Medicare PECOS Information:

PECOS PAC ID: 7012352743
Enrollment ID: I20240304002034

Medical Identifiers

Medical identifiers for Dr Gregg A Liedtka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619044286	NPI	-	NPPES
5048210	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	DE00010090 (Washington)	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 Gregg A Liedtka allows following entities to bill medicare on his behalf.

Entity Name	Department Of Social Dept Of Shs Div Of Instns
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467440602 PECOS PAC ID: 9133013725 Enrollment ID: O20040213000028

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 Gregg A Liedtka 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 Gregg A Liedtka, DMD 2034 E 63rd Ave, Spokane, WA 99223-8436 Ph: (509) 855-3946	Dr Gregg A Liedtka, DMD 605 S Coolidge St, Moses Lake, WA 98837 Ph: (509) 765-0674

Reviews and Comments

Dentist in Moses Lake, WA

Dr. Sean Barry Collette, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674
Manuel Felipe Prieto, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674
Dr. Finley Jay Grant, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1039 W Broadway Ave, Moses Lake, WA 98837 Phone: 509-765-6622
William Thomas Hilliard, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-765-5615 Fax: 509-765-7915
Dr. David Daniel Feller, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1405 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-766-9744 Fax: 509-766-9745
Dr. Ronald Mchargue, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1634 S David St, Moses Lake, WA 98837 Phone: 599-989-7545
Dr. Dino A Cacchiotti, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 961 E Nelson Rd, Moses Lake, WA 98837 Phone: 509-766-2833 Fax: 509-766-2028

Dr Gregg A Liedtka, DMD - Medicare Dentist in Moses Lake, WA