James G Liesen, DO in Bolivar, MO

James G Liesen, DO is a medicare enrolled "Pediatrics" physician in Bolivar, Missouri. His current practice location is 1195 N Oakland Ave, Suite 2, Bolivar, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 777-2121.

James G Liesen is licensed to practice in Missouri (license number 2008032320) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003815291.

Contact Information

	James G Liesen, DO
	1195 N Oakland Ave, Suite 2, Bolivar, MO 65613-8095
	(417) 777-2121
	(417) 777-2854

Map and Direction

Physician's Profile

Full Name	James G Liesen
Gender	Male
Speciality	Pediatrics
Location	1195 N Oakland Ave, Bolivar, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003815291
Provider Enumeration Date: 07/19/2005
Last Update Date: 02/23/2017

Medicare PECOS Information:

PECOS PAC ID: 5597869057
Enrollment ID: I20081204000341

Medical Identifiers

Medical identifiers for James G Liesen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003815291	NPI	-	NPPES
3810002037	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2101 (West Virginia)	Secondary
208000000X	Pediatrics	2008032320 (Missouri)	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. James G Liesen allows following entities to bill medicare on his behalf.

Entity Name	Citizens Memorial Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568566131 PECOS PAC ID: 4183528169 Enrollment ID: O20040315001374

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. James G 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 Address	Practice Location Address
James G Liesen, DO 1500 N Oakland Ave, Bolivar, MO 65613-3011 Ph: (417) 328-6501	James G Liesen, DO 1195 N Oakland Ave, Suite 2, Bolivar, MO 65613-8095 Ph: (417) 777-2121

Reviews and Comments

Pediatrics Doctors in Bolivar, MO

Dr. Maida Patricia Baugh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1165 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-777-2121 Fax: 417-777-2854
Dr. Angela D Collins, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1195 N Oakland Ave, Suite 2, Bolivar, MO 65613 Phone: 417-777-2121 Fax: 417-777-2854
Dr. Shannon Leigh Calvert, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1195 N Oakland Ave, Suite 2, Bolivar, MO 65613 Phone: 417-777-2121 Fax: 417-777-2854
Garrett Monk Alderfer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-328-6000

James G Liesen, DO - Medicare Pediatrics in Bolivar, MO