Dr Gregory R Liebsch, DDS in Blaine, MN - Medicare Dentist Provider

Dr Gregory R Liebsch, DDS is a medicare enrolled "Dentist - General Practice" provider in Blaine, Minnesota. His current practice location is 10961 Club Parkway Ne, Suite 240, Blaine, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 780-1292.

Dr Gregory R Liebsch is licensed to practice in Minnesota (license number 10305) 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 1255442091.

Contact Information

	Dr Gregory R Liebsch, DDS
	10961 Club Parkway Ne, Suite 240, Blaine, MN 55449
	(763) 780-1292
	(952) 967-5311

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Gregory R Liebsch
Gender	Male
Speciality	Dentist - General Practice
Location	10961 Club Parkway Ne, Blaine, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255442091
Provider Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1355413774
Enrollment ID: I20080630000613

Medical Identifiers

Medical identifiers for Dr Gregory R Liebsch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255442091	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	10305 (Minnesota)	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 Gregory R Liebsch allows following entities to bill medicare on his behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

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 Gregory R Liebsch 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 Gregory R Liebsch, DDS Po Box 1309, Mail Code 21113a, Minneapolis, MN 55440-1309 Ph: (952) 883-5151	Dr Gregory R Liebsch, DDS 10961 Club Parkway Ne, Suite 240, Blaine, MN 55449 Ph: (763) 780-1292

Reviews and Comments

Dentist in Blaine, MN

Dr. Jeffrey Mark Ruhlmann, Dentist Medicare: Medicare Enrolled Practice Location: 12904 Central Ave Ne, Blaine, MN 55434 Phone: 763-755-1330
Dr. Landon Thomas Case, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10729 Town Square Drive Ne, Ste 100, Blaine, MN 55449 Phone: 763-225-1865
Dr. Stephen Michael Sawyer, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 12904 Central Ave Ne, Blaine, MN 55434 Phone: 763-755-1330 Fax: 763-755-4305
Dr. Anissa Jane Kozlowski, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12904 Central Ave Ne, Blaine, MN 55434 Phone: 763-755-1330 Fax: 763-755-4305
Dr. Karen Dizon Competente, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4255 Pheasant Ridge Dr Ne, Suite 407, Blaine, MN 55449 Phone: 763-225-6100 Fax: 763-225-6101
Dr. Thien Quang Pham, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 12904 Central Ave Ne, Blaine, MN 55434 Phone: 651-621-4515
Dr. Shalini Mittal, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1384 109th Ave Ne Ste 200, Blaine, MN 55434 Phone: 763-757-6000

Dr Gregory R Liebsch, DDS - Medicare Dentist in Blaine, MN