Daniel Libke, MD is a medicare enrolled "Emergency Medicine" physician in Piedmont, California. He went to Southern Illinois University School Of Medicine and graduated in 1981 and has 44 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Shadow Emergency Physicians Pllc and his current practice location is
385 Moraga Ave, Piedmont, California. You can reach out to his office (for appointments etc.) via phone at
(510) 410-1545.
Daniel Libke is licensed to practice in California (license number A39313) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154460517.
Physician's Profile
| Full Name | Daniel Libke |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 44 Years |
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| Location | 385 Moraga Ave, Piedmont, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Daniel Libke attended and graduated from Southern Illinois University School Of Medicine in 1981
NPI Data:
- NPI Number: 1154460517
- Provider Enumeration Date: 02/05/2007
- Last Update Date: 07/16/2015
Medicare PECOS Information:
- PECOS PAC ID: 7214016617
- Enrollment ID: I20181018000621
Medical Identifiers
Medical identifiers for Daniel Libke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154460517 | NPI | - | NPPES |
| A39313 | Other | CA | MEDICAL DOCTOR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | A39313 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Shadow Emergency Physicians Pllc | 2860667375 | 121 |
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. Daniel Libke allows following entities to bill medicare on his behalf.
| Entity Name | Shadow Emergency Physicians Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184795874
PECOS PAC ID: 2860667375
Enrollment ID: O20111212000888 |
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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. Daniel Libke 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 |
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Daniel Libke, MD
2100 Powell St Ste 900, Cep-medamerica Attn. Berta Avila,
Emeryville, CA 94608-1844
Ph: (510) 350-2664 | Daniel Libke, MD
385 Moraga Ave,
Piedmont, CA 94611-3927
Ph: (510) 410-1545 |
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