Ms Agnes Liem, CPNP-PC, AE-C - Medicare Nurse Practitioner in Minot Afb, ND

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Ms Agnes Liem, CPNP-PC, AE-C is a medicare enrolled "Nurse Practitioner - Pediatrics" in Minot Afb, North Dakota. Her current practice location is 10 Missile Ave, Minot Afb, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 723-5138.

Ms Agnes Liem is licensed to practice in New York (license number F382111-1) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508097247.

Contact Information

Ms Agnes Liem, CPNP-PC, AE-C
10 Missile Ave,
Minot Afb, ND 58705-5003
(701) 723-5138
(609) 754-9195

Map and Direction




Provider's Profile

Full NameMs Agnes Liem
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location10 Missile Ave, Minot Afb, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508097247
  • Provider Enumeration Date: 07/29/2009
  • Last Update Date: 04/28/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6103877634
  • Enrollment ID: I20160725001367

Medical Identifiers

Medical identifiers for Ms Agnes Liem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508097247NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 601494-1 (New York)Secondary
163W00000XRegistered Nurse 026.0042618 (Vermont)Secondary
363LP0200XNurse Practitioner - Pediatrics F382111-1 (New York)Primary
363LP0200XNurse Practitioner - Pediatrics R43064 (North Dakota)Secondary

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. Ms Agnes Liem allows following entities to bill medicare on her behalf.
Entity NameInnovis Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215125463
PECOS PAC ID: 9931298155
Enrollment ID: O20071211000158

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. Ms Agnes Liem 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
Ms Agnes Liem, CPNP-PC, AE-C
194 Missile Ave,
Minot Afb, ND 58701

Ph: (701) 723-5138		Ms Agnes Liem, CPNP-PC, AE-C
10 Missile Ave,
Minot Afb, ND 58705-5003

Ph: (701) 723-5138

Reviews and Comments


Nurse Practitioner Nurses in Minot Afb, ND

Dr. Lisa Krogman, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10 Missile Ave, Minot Afb, ND 58705
Phone: 701-723-5444    
Maribelle Anne Faucett, WHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10 Missile Ave, Minot Afb, ND 58705
Phone: 701-723-5633    
Mary Maudeana Moore, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10 Missile Ave, Minot Afb, ND 58705
Phone: 701-723-5190    Fax: 701-723-5391
Julianne Legierse, CPNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10 Missle Ave 5th Medical Group, Minot Afb, ND 58405
Phone: 701-723-5633    
Renae Rita Denelsbeck, FNP- C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10 Missile Ave, Minot Afb, ND 58705
Phone: 701-723-5633    

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.