| Ian M Liebold, CRNP | |
|
600 Commerce Blvd, Stroudsburg, PA 18360-6214 | |
| (570) 424-7390 | |
| (570) 424-7395 |
| Full Name | Ian M Liebold |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 600 Commerce Blvd, Stroudsburg, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265198030 | NPI | - | NPPES |
| SP024724 | Other | PA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP024724 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lehigh Valley Hospital - Pocono | East stroudsburg, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Care Centers Inc | 5395649347 | 197 |
| Entity Name | Family Care Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian M Liebold, CRNP 2100 Mack Blvd Fl 4, Allentown, PA 18103-5622 Ph: (484) 629-2282 | Ian M Liebold, CRNP 600 Commerce Blvd, Stroudsburg, PA 18360-6214 Ph: (570) 424-7390 |
Sharon C London, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 302 Autumn Ln, Stroudsburg, PA 18360 Phone: 570-688-5690 | |
Geraldine Anamege, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18 N 7th St Fl 2, Stroudsburg, PA 18360 Phone: 570-218-8700 | |
Colin Kenny, CRNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1172 W Main St # B, Stroudsburg, PA 18360 Phone: 570-424-6187 | |
Grace Mogaka, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5549 Bridle Rd, Stroudsburg, PA 18360 Phone: 201-344-8780 | |
Melania Falik, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5623 Olde Mill Run, Stroudsburg, PA 18360 Phone: 973-980-8797 | |
Erica C Lyden, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 814 Monroe St Ste 201, Stroudsburg, PA 18360 Phone: 570-213-9133 Fax: 570-209-8806 | |
Jeannine Patrick-blaikie, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 292 Frantz Rd, Ste 108, Stroudsburg, PA 18360 Phone: 570-426-2960 Fax: 570-426-2965 |