Manicia Shundreal Liddell, NP - Medicare Nurse Practitioner in Princeton, MN

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Manicia Shundreal Liddell, NP is a medicare enrolled "Nurse Practitioner" in Princeton, Minnesota. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gulfsouth Hospital Medicine Llc, Belle Chasse Physician Services Llc, Faxton-st Lukes Healthcare and her current practice location is 911 Northland Dr, Princeton, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 389-1313.

Manicia Shundreal Liddell is licensed to practice in Minnesota (license number 8995) 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 1568963866.

Contact Information

Manicia Shundreal Liddell, NP
911 Northland Dr,
Princeton, MN 55371-2172
(763) 389-1313
Not Available

Map and Direction




Provider's Profile

Full NameManicia Shundreal Liddell
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location911 Northland Dr, Princeton, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Manicia Shundreal Liddell graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1568963866
  • Provider Enumeration Date: 02/22/2018
  • Last Update Date: 02/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3779829908
  • Enrollment ID: I20190109001905

Medical Identifiers

Medical identifiers for Manicia Shundreal Liddell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568963866NPI-NPPES
LIDD-8T8QP1OtherMSADVANCED NURSING LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner LIDD-8T8QP1 (Mississippi)Secondary
363L00000XNurse Practitioner 200056 (Louisiana)Secondary
363L00000XNurse Practitioner 8995 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Faxton-st Luke's HealthcareUtica, NYHospital
Tulane Medical CenterNew orleans, LAHospital
Ochsner Clinic FoundationNew orleans, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gulfsouth Hospital Medicine Llc690115198425
Belle Chasse Physician Services Llc9335379379207
Faxton-st Lukes Healthcare2769380252291

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. Manicia Shundreal Liddell allows following entities to bill medicare on her behalf.
Entity NameApogee Medical Group, Louisiana, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932347903
PECOS PAC ID: 8527116193
Enrollment ID: O20090508000440
Entity NameBelle Chasse Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245653237
PECOS PAC ID: 9335379379
Enrollment ID: O20140313000496
Entity NameHospitalist Medicine Physicians Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629307095
PECOS PAC ID: 3476688318
Enrollment ID: O20151021000365
Entity NameGulfsouth Hospital Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871097766
PECOS PAC ID: 6901151984
Enrollment ID: O20180614002079
Entity NameMayfair Physician Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831688365
PECOS PAC ID: 7618225814
Enrollment ID: O20180803002194
Entity NameCogent Healthcare Of Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992722953
PECOS PAC ID: 8628076924
Enrollment ID: O20190923002250

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. Manicia Shundreal Liddell 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 AddressPractice Location Address
Manicia Shundreal Liddell, NP
911 Northland Dr,
Princeton, MN 55371-2172

Ph: (763) 389-1313		Manicia Shundreal Liddell, NP
911 Northland Dr,
Princeton, MN 55371-2172

Ph: (763) 389-1313

Reviews and Comments


Nurse Practitioner Nurses in Princeton, MN

James John Martineau, RN, MSN, FNP, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1100 7th Ave S, Express Clinic, Princeton, MN 55371
Phone: 763-389-5207    Fax: 763-389-4138
Cynthia D Loehlein, GNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 919 Northland Dr, Princeton, MN 55371
Phone: 763-389-3344    
Yvette Miller, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 31137 131st St, Princeton, MN 55371
Phone: 763-238-3142    
Teresa Jean Duscher, RN, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 919 Northland Dr, Princeton, MN 55371
Phone: 763-389-3344    
Victoria Sergeyevna Noble, GNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 919 Northland Dr, Princeton, MN 55371
Phone: 763-389-3344    
Linda M Baumann, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 919 Northland Drive, Princeton, MN 55371
Phone: 763-389-3344    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.