Bobbie Liechty, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Providence, Utah. Her current practice location is
585 N 400 E, Providence, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 512-9536.
Bobbie Liechty is licensed to practice in Utah (license number 11995049-4102) 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 1417528738.
Healthcare Provider's Profile
| Full Name | Bobbie Liechty |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 585 N 400 E, Providence, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417528738
- Provider Enumeration Date: 07/07/2021
- Last Update Date: 07/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 8224481247
- Enrollment ID: I20240125004590
Medical Identifiers
Medical identifiers for Bobbie Liechty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417528738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | 11995049-4102 (Utah) | 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. Bobbie Liechty allows following entities to bill medicare on her behalf.
| Provider Name | Utah State University |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1235374984 PECOS PAC ID: 3476715491 Enrollment ID: O20120508000468 |
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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. Bobbie Liechty 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 |
Bobbie Liechty, MA, CCC-SLP 585 N 400 E, Providence, UT 84332-9525 Ph: () - | Bobbie Liechty, MA, CCC-SLP 585 N 400 E, Providence, UT 84332-9525 Ph: (435) 512-9536 |
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