Lawrence Martin Lieblich, MD in Smithtown, NY

Lawrence Martin Lieblich, MD is a medicare enrolled "Dermatology" physician in Smithtown, New York. He went to Stanford University School Of Medicine and graduated in 1977 and has 47 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice North Shore - Lij Medical Pc and his current practice location is 9 Brooksite Dr, Smithtown, New York. You can reach out to his office (for appointments etc.) via phone at (631) 390-7800.

Lawrence Martin Lieblich is licensed to practice in New York (license number 135570) 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 1619985462.

Contact Information

	Lawrence Martin Lieblich, MD
	9 Brooksite Dr, Smithtown, NY 11787-3400
	(631) 390-7800
	(631) 390-7821

Map and Direction

Physician's Profile

Full Name	Lawrence Martin Lieblich
Gender	Male
Speciality	Dermatology
Experience	47 Years
Location	9 Brooksite Dr, Smithtown, New York
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:

Lawrence Martin Lieblich attended and graduated from Stanford University School Of Medicine in 1977

NPI Data:

NPI Number: 1619985462
Provider Enumeration Date: 08/04/2006
Last Update Date: 12/08/2023

Medicare PECOS Information:

PECOS PAC ID: 7113053422
Enrollment ID: I20100325000852

Medical Identifiers

Medical identifiers for Lawrence Martin Lieblich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619985462	NPI	-	NPPES
68A30	Other	NY	EMPIRE BCBS
00770021	Medicaid	NY
11-2644403	Other	NY	EMPIRE PLAN
218790P	Other	NY	HIP
AJ48951	Other	NY	MDNY
218791P	Other	NY	HIP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	135570 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore - Lij Medical Pc	3375701568	5099

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. Lawrence Martin Lieblich allows following entities to bill medicare on his behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

Entity Name	Basuk Medical Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518206366 PECOS PAC ID: 5698915650 Enrollment ID: O20130716000255

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. Lawrence Martin Lieblich 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
Lawrence Martin Lieblich, MD 39 Old Coach Rd, East Setauket, NY 11733-3818 Ph: (631) 821-4789	Lawrence Martin Lieblich, MD 9 Brooksite Dr, Smithtown, NY 11787-3400 Ph: (631) 390-7800

Reviews and Comments

Dermatology Doctors in Smithtown, NY

Ms. Tamara Koss, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 260 Middle Country Rd, Suite 208, Smithtown, NY 11787 Phone: 631-863-3223 Fax: 631-863-3334
Michael Fastenberg, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 260 Middle Country Rd, Suite 208, Smithtown, NY 11787 Phone: 631-863-3223 Fax: 631-863-3334
Faith Leslie Leffel, RPA C Dermatology Medicare: Medicare Enrolled Practice Location: 327 E Main St, Smithtown, NY 11787 Phone: 631-979-0909 Fax: 631-979-0455
Dr. Donna April Serure, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 327 E Main St, Smithtown, NY 11787 Phone: 631-979-0909 Fax: 631-979-0455
Dr. Snehal P Amin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 327 Middle Country Rd, Smithtown, NY 11787 Phone: 631-979-0909 Fax: 631-979-0455
Dr. Audra Marie Malerba, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 327 E Main St, Smithtown, NY 11787 Phone: 631-979-0909 Fax: 631-979-0455

Lawrence Martin Lieblich, MD - Medicare Dermatology in Smithtown, NY