Dr Brian S Liddell, DO in Nampa, ID

Dr Brian S Liddell, DO is a medicare enrolled "Pediatrics" physician in Nampa, Idaho. His current practice location is 9850 W St Lukes Dr Ste 270, Nampa, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 205-7820.

Dr Brian S Liddell is licensed to practice in Idaho (license number O-1327) 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 1083957310.

Contact Information

	Dr Brian S Liddell, DO
	9850 W St Lukes Dr Ste 270, Nampa, ID 83687-7912
	(208) 205-7820
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Brian S Liddell
Gender	Male
Speciality	Pediatrics
Location	9850 W St Lukes Dr Ste 270, Nampa, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083957310
Provider Enumeration Date: 04/04/2013
Last Update Date: 03/12/2021

Medicare PECOS Information:

PECOS PAC ID: 5395087829
Enrollment ID: I20190501003227

Medical Identifiers

Medical identifiers for Dr Brian S Liddell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083957310	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	O-1327 (Idaho)	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 Brian S Liddell allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Brian S Liddell 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 Brian S Liddell, DO 9850 W St Lukes Dr Ste 270, Nampa, ID 83687-7912 Ph: (208) 205-7820	Dr Brian S Liddell, DO 9850 W St Lukes Dr Ste 270, Nampa, ID 83687-7912 Ph: (208) 205-7820

Reviews and Comments

Pediatrics Doctors in Nampa, ID

Thomas J Hammer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1209 N Jacob Allcott Way, Nampa, ID 83687 Phone: 208-461-8700 Fax: 208-461-8705
Dr. Joseph Gregory Wilbanks, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9850 W St Lukes Dr Ste 270, Nampa, ID 83687 Phone: 208-205-7820 Fax: 208-205-7822
Mrs. Jeannette E Jain, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 215 E Hawaii Ave, Nampa, ID 83686 Phone: 208-468-5930 Fax: 208-463-3044
Joseph L Papiez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 215 E Hawaii Ave, Nampa, ID 83686 Phone: 208-468-5930 Fax: 208-463-3044
Michael B Aldous, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1510 12th Ave Rd Ste 200, Nampa, ID 83686 Phone: 208-302-6800 Fax: 208-302-6855
Dr. Alicia Mary Suski, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 207 1st St S, Nampa, ID 83651 Phone: 208-466-7869 Fax: 208-466-5359

Dr Brian S Liddell, DO - Medicare Pediatrics in Nampa, ID