Alexander James Lietz, MD in Herrin, IL - Medicare Internal Medicine

Alexander James Lietz, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Herrin, Illinois. His current practice location is 3314 Patriot Ct, Herrin, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 993-1591.

Alexander James Lietz is licensed to practice in Illinois (license number 036170520) 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 1790244713.

Contact Information

	Alexander James Lietz, MD
	3314 Patriot Ct, Herrin, IL 62948-3782
	(618) 993-1591
	(618) 993-1595

Map and Direction

Physician's Profile

Full Name	Alexander James Lietz
Gender	Male
Speciality	Internal Medicine - Infectious Disease
Location	3314 Patriot Ct, Herrin, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790244713
Provider Enumeration Date: 03/19/2019
Last Update Date: 07/25/2024

Medicare PECOS Information:

PECOS PAC ID: 2264813831
Enrollment ID: I20240719003091

Medical Identifiers

Medical identifiers for Alexander James Lietz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790244713	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0200X	Internal Medicine - Infectious Disease	036170520 (Illinois)	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. Alexander James Lietz allows following entities to bill medicare on his behalf.

Entity Name	Southern Illinois Medical Services Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595

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. Alexander James Lietz 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
Alexander James Lietz, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200	Alexander James Lietz, MD 3314 Patriot Ct, Herrin, IL 62948-3782 Ph: (618) 993-1591

Reviews and Comments

Internal Medicine Doctors in Herrin, IL

Dr. Gowda Sharath, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 405 Rushing Dr, Herrin, IL 62948 Phone: 618-993-3300
Sareer Zia, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4929
Dr. Chante Thanh Trinh, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6186
Sherry Michele Williams, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3303 Logan Dr, Herrin, IL 62948 Phone: 618-998-8920 Fax: 618-998-8923
Dr. Abhish Koirala, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6166
Dr. Jeffrey Mark Jacobs, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6166
Dr. Shannon J Hopen, D.O. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin Hospital, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4929

Alexander James Lietz, MD - Medicare Internal Medicine in Herrin, IL