Dr Christine M Liedtke, PSYD, HSPP in Fishers, IN - Medicare Psychologist Provider

Dr Christine M Liedtke, PSYD, HSPP is a medicare enrolled "Psychologist" provider in Fishers, Indiana. Her current practice location is 14074 Trade Center Dr Ste 208, Fishers, Indiana. You can reach out to her office (for appointments etc.) via phone at (440) 241-5275.

Dr Christine M Liedtke is licensed to practice in Indiana (license number 20042492A) 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 1801196282.

Contact Information

	Dr Christine M Liedtke, PSYD, HSPP
	14074 Trade Center Dr Ste 208, Fishers, IN 46038-4574
	(440) 241-5275
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Christine M Liedtke
Gender	Female
Speciality	Psychologist
Location	14074 Trade Center Dr Ste 208, Fishers, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801196282
Provider Enumeration Date: 11/01/2010
Last Update Date: 03/04/2024

Medicare PECOS Information:

PECOS PAC ID: 2860641982
Enrollment ID: I20241025002220

Medical Identifiers

Medical identifiers for Dr Christine M Liedtke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801196282	NPI	-	NPPES
201092020	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	20042492A (Indiana)	Primary

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. Dr Christine M Liedtke allows following entities to bill medicare on her behalf.

Entity Name	Blossoming Minds Psychological Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649037730 PECOS PAC ID: 3173056330 Enrollment ID: O20241025001816

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 Christine M Liedtke 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
Dr Christine M Liedtke, PSYD, HSPP 14074 Trade Center Dr Ste 208, Fishers, IN 46038-4574 Ph: (440) 241-5275	Dr Christine M Liedtke, PSYD, HSPP 14074 Trade Center Dr Ste 208, Fishers, IN 46038-4574 Ph: (440) 241-5275

Reviews and Comments

Psychologist in Fishers, IN

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Caitlyn Dragon, ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13512 Templin Ave, Fishers, IN 46037 Phone: 317-270-2837

Dr Christine M Liedtke, PSYD, HSPP - Medicare Psychologist in Fishers, IN