Calley A Lidle, MD in St. Paul, MN

Calley A Lidle, MD is a medicare enrolled "Pediatrics" physician in St. Paul, Minnesota. Her current practice location is 233 Grand Avenue, St. Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 227-7806.

Calley A Lidle is licensed to practice in Minnesota (license number 51175) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1851513436.

Contact Information

	Calley A Lidle, MD
	233 Grand Avenue, St. Paul, MN 55102-9658
	(651) 227-7806
	(651) 256-6707

Map and Direction

Physician's Profile

Full Name	Calley A Lidle
Gender	Female
Speciality	Pediatrics
Location	233 Grand Avenue, St. Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851513436
Provider Enumeration Date: 05/03/2007
Last Update Date: 07/02/2009

Medicare PECOS Information:

PECOS PAC ID: 7517270846
Enrollment ID: I20150716000219

Medical Identifiers

Medical identifiers for Calley A Lidle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851513436	NPI	-	NPPES
185153436	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	125050402 (Illinois)	Secondary
208000000X	Pediatrics	51175 (Minnesota)	Primary
208000000X	Pediatrics	52074-020 (Wisconsin)	Secondary

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. Calley A Lidle allows following entities to bill medicare on her behalf.

Entity Name	Healtheast Medical Research Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507

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. Calley A Lidle 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
Calley A Lidle, MD 233 Grand Avenue, St. Paul, MN 55102-9658 Ph: (651) 227-7806	Calley A Lidle, MD 233 Grand Avenue, St. Paul, MN 55102-9658 Ph: (651) 227-7806

Reviews and Comments

Pediatrics Doctors in St. Paul, MN

Kristin Lb Peterson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Children's Primary Clinic - Stpl, 347 North Smith Avenue, St. Paul, MN 55102 Phone: 651-220-6789 Fax: 651-220-6807
Carrie Leigh Pettey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 347 N Smith Avenue 302, Childrens Primary Clinic Stpl, St. Paul, MN 55102 Phone: 651-220-6789 Fax: 651-220-6807
Philip A Gasseling, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 Como Avenue, St. Paul, MN 55108 Phone: 952-853-8800 Fax: 651-641-6205
Jennifer C Koziol Wozniak, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd - Ms 41102a, Healthpartners Specialty Center 401, St. Paul, MN 55130 Phone: 651-254-7560 Fax: 651-254-7564
Debra A Weimerskirch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 345 North Smith Avenue, Children's Hospitals And Clinics Emergency Physicians, St. Paul, MN 55102 Phone: 651-220-6914 Fax: 651-220-6999
Rachel Sarah Darling, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, St. Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673

Calley A Lidle, MD - Medicare Pediatrics in St. Paul, MN