Dr Edwin Boediono Liem, MD in New Albany, IN

Dr Edwin Boediono Liem, MD is a medicare enrolled "Anesthesiology" physician in New Albany, Indiana. He graduated from medical school in 1994 and has 32 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Sheridan Healthcorp Inc and his current practice location is 4023 Reas Ln, New Albany, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 206-7660.

Dr Edwin Boediono Liem is licensed to practice in Indiana (license number 01066649A) 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 1952354623.

Contact Information

	Dr Edwin Boediono Liem, MD
	4023 Reas Ln, New Albany, IN 47150-2228
	(812) 206-7660
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Edwin Boediono Liem
Gender	Male
Speciality	Anesthesiology
Experience	32 Years
Location	4023 Reas Ln, New Albany, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Edwin Boediono Liem graduated from medical school in 1994

NPI Data:

NPI Number: 1952354623
Provider Enumeration Date: 05/17/2006
Last Update Date: 03/03/2025

Medicare PECOS Information:

PECOS PAC ID: 5799742367
Enrollment ID: I20250312002673

Medical Identifiers

Medical identifiers for Dr Edwin Boediono Liem such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952354623	NPI	-	NPPES
64041981	Medicaid	KY
000000640496	Other	IN	ANTHEM
200366540	Medicaid	IN
P00819295	Other	IN	RAILROAD MEDICARE
50027044	Other	IN	PASSPORT ADVANTAGE
50027044	Other	IN	PASSPORT
111870	Other	IN	SIHO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	36354 (Kentucky)	Secondary
207L00000X	Anesthesiology	ME170722 (Florida)	Secondary
207L00000X	Anesthesiology	01066649A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jfk Medical Center	Atlantis, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sheridan Healthcorp Inc	3173429693	980

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 Edwin Boediono Liem allows following entities to bill medicare on his behalf.

Entity Name	Sheridan Healthcorp Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355

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 Edwin Boediono Liem 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 Edwin Boediono Liem, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Dr Edwin Boediono Liem, MD 4023 Reas Ln, New Albany, IN 47150-2228 Ph: (812) 206-7660

Reviews and Comments

Anesthesiology Doctors in New Albany, IN

Mr. Shantharam H Shetty, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1850 State St, New Albany, IN 47150 Phone: 502-625-5584 Fax: 502-426-2264
Dr. Martin Brieschke, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1850 State St, New Albany, IN 47150 Phone: 502-625-5584 Fax: 502-426-2264
Dr. Barry H Miller, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1850 State St, New Albany, IN 47150 Phone: 502-625-5584 Fax: 502-426-2264
Bridgit Casey, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1850 State St, New Albany, IN 47150 Phone: 812-944-7701
Arthur G. Duncan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1850 State St, New Albany, IN 47150 Phone: 502-625-5584 Fax: 502-426-2264
Andy Lee, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1850 State St, New Albany, IN 47150 Phone: 502-625-5584
Dr. Keun Yung Yu, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1850 State St, New Albany, IN 47150 Phone: 502-625-5584 Fax: 502-426-2264

Dr Edwin Boediono Liem, MD - Medicare Anesthesiology in New Albany, IN