Gwendolyn Z Lieb, MD in Fairbanks, AK

Gwendolyn Z Lieb, MD is a medicare enrolled "Pediatrics" physician in Fairbanks, Alaska. Her current practice location is 1717 W Cowles St, Fairbanks, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 451-6682.

Gwendolyn Z Lieb is licensed to practice in Alaska (license number 121743) 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 1750709978.

Contact Information

	Gwendolyn Z Lieb, MD
	1717 W Cowles St, Fairbanks, AK 99701-5926
	(907) 451-6682
	Not Available

Map and Direction

Physician's Profile

Full Name	Gwendolyn Z Lieb
Gender	Female
Speciality	Pediatrics
Location	1717 W Cowles St, Fairbanks, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750709978
Provider Enumeration Date: 04/04/2014
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 0648583690
Enrollment ID: I20200326003373

Medical Identifiers

Medical identifiers for Gwendolyn Z Lieb such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750709978	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	60469767 (Washington)	Secondary
208000000X	Pediatrics	121743 (Alaska)	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. Gwendolyn Z Lieb allows following entities to bill medicare on her behalf.

Entity Name	Tanana Valley Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922559558 PECOS PAC ID: 5698056901 Enrollment ID: O20161228001991

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. Gwendolyn Z Lieb 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
Gwendolyn Z Lieb, MD 900 5th Ave S Unit 100, Edmonds, WA 98020-4036 Ph: (206) 660-0395	Gwendolyn Z Lieb, MD 1717 W Cowles St, Fairbanks, AK 99701-5926 Ph: (907) 451-6682

Reviews and Comments

Pediatrics Doctors in Fairbanks, AK

Dr. James Timothy Foote, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3554
Dr. Marvin Bergeson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3526
Dr. Laura Brunner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3526
Dr. Mishelle Nace, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3554
Dr. Corneliu Antonescu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3554
Dr. John Matthew De Pasquale, MD, MPH, DTM&H Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3554
Manal Shihadeh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1919 Lathrop St Ste 204, Fairbanks, AK 99701 Phone: 907-374-2637 Fax: 907-374-2632

Gwendolyn Z Lieb, MD - Medicare Pediatrics in Fairbanks, AK