Dr Kenneth J Liesen, MD - Medicare Family Practice in St Charles, IL

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Dr Kenneth J Liesen, MD is a medicare enrolled "Family Medicine" physician in St Charles, Illinois. He went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Family Practice. His current practice location is 606 Riverside Ave, St Charles, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 584-8900.

Dr Kenneth J Liesen is licensed to practice in Illinois (license number 036-077277) 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 1699896498.

Contact Information

Dr Kenneth J Liesen, MD
606 Riverside Ave,
St Charles, IL 60174-2969
(630) 584-8900
(630) 584-2806

Map and Direction




Physician's Profile

Full NameDr Kenneth J Liesen
GenderMale
SpecialityFamily Practice
Experience39 Years
Location606 Riverside Ave, St Charles, Illinois
Accepts Medicare AssignmentsYes. 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 Kenneth J Liesen attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 1985
  NPI Data:
  • NPI Number: 1699896498
  • Provider Enumeration Date: 04/02/2007
  • Last Update Date: 04/23/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3072793215
  • Enrollment ID: I20110205000088

Medical Identifiers

Medical identifiers for Dr Kenneth J Liesen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699896498NPI-NPPES
036077277MedicaidIL
966700OtherILPTAN
036077277OtherILUNITED HEALTH
036077277OtherILBLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036-077277 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Apex Home Health Care, IncOak brook, ILHome health agency
Central Dupage HospitalWinfield, ILHospital
Delnor Community HospitalGeneva, ILHospital
Kishwaukee Community HospitalDekalb, ILHospital

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 Kenneth J Liesen allows following entities to bill medicare on his behalf.
Entity NameKenneth J Liesen Md Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124223763
PECOS PAC ID: 7618157850
Enrollment ID: O20110205000079

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 Kenneth J Liesen 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 AddressPractice Location Address
Dr Kenneth J Liesen, MD
606 Riverside Ave,
St Charles, IL 60174-2969

Ph: (630) 584-8900		Dr Kenneth J Liesen, MD
606 Riverside Ave,
St Charles, IL 60174-2969

Ph: (630) 584-8900

Reviews and Comments


Family Medicine Doctors in St Charles, IL

Robert Wayne Long, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 525 Tyler Rd, St Charles, IL 60174
Phone: 630-584-2070    
Dr. Robert Joseph Calabria, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2900 Foxfield Rd, St Charles, IL 60174
Phone: 630-513-8275    Fax: 630-513-9208
Elizabeth W Heredia,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2900 Foxfield Rd, St Charles, IL 60174
Phone: 630-377-7900    Fax: 630-377-8007
Autumn E Bernicky, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2900 Foxfield Rd Ste 307, St Charles, IL 60174
Phone: 630-208-3200    Fax: 630-208-3201
Madeline Carol Kwiatkowski, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2900 Foxfield Rd, St Charles, IL 60174
Phone: 630-377-7900    Fax: 630-377-8007
Dr. Kevin Philip Wakeman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2900 Foxfield Rd, St Charles, IL 60174
Phone: 630-377-6500    
Dr. Wilbert H. Hohm, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 405 S 4th St, St Charles, IL 60174
Phone: 630-584-1496    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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