Dr Thaddeus R Liebig, PT, DPT,ATC is a
Physical Medicine & Rehabilitation based in Hartington, Nebraska. Dr Thaddeus R Liebig is licensed to practice in Nebraska (license number 1668) and his current practice location is
401 W Darlene St, Hartington, Nebraska. He can be reached at his office (for appointments etc.) via phone at
(402) 254-3985.
NPI number for Dr Thaddeus R Liebig is 1023019544 and his current mailing address is 401 W Darlene St, Po Box 107, Hartington, Nebraska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023019544.
Healthcare Provider's Profile
| Full Name | Dr Thaddeus R Liebig |
|---|
| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 401 W Darlene St, Hartington, Nebraska |
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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: 1023019544
- Provider Enumeration Date: 08/09/2005
- Last Update Date: 07/29/2011
Medical Identifiers
Medical identifiers for Dr Thaddeus R Liebig such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023019544 | NPI | - | NPPES |
| 5834080 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 1065 (South Dakota) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 1668 (Nebraska) | 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. Dr Thaddeus R Liebig 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 |
|---|
Dr Thaddeus R Liebig, PT, DPT,ATC
401 W Darlene St, Po Box 107,
Hartington, NE 68739-4510
Ph: (402) 254-3985 | Dr Thaddeus R Liebig, PT, DPT,ATC
401 W Darlene St,
Hartington, NE 68739-4510
Ph: (402) 254-3985 |
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