Paul L Liss, MD is a
Internal Medicine physician based in Baileys Harbor, Wisconsin. Paul L Liss is licensed to practice in Wisconsin (license number 22215) and his current practice location is 8510 E Bues Point Rd, Baileys Harbor, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 839-2630.
NPI number for Paul L Liss is 1003903915 and his current mailing address is 8510 E Bues Point Rd, Baileys Harbor, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003903915.
Physician's Profile
| Full Name | Paul L Liss |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 8510 E Bues Point Rd, Baileys Harbor, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003903915
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 03/01/2011
Medical Identifiers
Medical identifiers for Paul L Liss such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003903915 | NPI | - | NPPES |
| 30266700 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 22215 (Wisconsin) | Primary |
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. Paul L Liss is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Paul L Liss, MD
8510 E Bues Point Rd,
Baileys Harbor, WI 54202-9624
Ph: (920) 839-2630 | Paul L Liss, MD
8510 E Bues Point Rd,
Baileys Harbor, WI 54202-9624
Ph: (920) 839-2630 |
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