Penny Ann Liebbe, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Rock Island, Illinois. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Robert Young Center For Community Mental Health and her current practice location is
2701 17th St, Rock Island, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 779-5000.
Penny Ann Liebbe is licensed to practice in Iowa (license number G161048) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205436052.
Physician's Profile
| Full Name | Penny Ann Liebbe |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 2701 17th St, Rock Island, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Penny Ann Liebbe graduated from medical school in 2020
NPI Data:
- NPI Number: 1205436052
- Provider Enumeration Date: 10/30/2020
- Last Update Date: 04/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 9335553155
- Enrollment ID: I20210205001024
Medical Identifiers
Medical identifiers for Penny Ann Liebbe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205436052 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | G161048 (Iowa) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | G161048 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Robert Young Center For Community Mental Health | 4587600150 | 34 |
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. Penny Ann Liebbe allows following entities to bill medicare on her behalf.
| Entity Name | Trinity Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568414134
PECOS PAC ID: 2264337518
Enrollment ID: O20031203000016 |
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| Entity Name | The Robert Young Center For Community Mental Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912158494
PECOS PAC ID: 4587600150
Enrollment ID: O20220303002245 |
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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. Penny Ann Liebbe 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 |
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Penny Ann Liebbe, APN
20820 257th Ave,
Le Claire, IA 52753-9708
Ph: (563) 320-0149 | Penny Ann Liebbe, APN
2701 17th St,
Rock Island, IL 61201-5351
Ph: (309) 779-5000 |
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