Jeffrey Stephen Liebo, MD - Medicare Pediatrics in Clackamas, OR

Jeffrey Stephen Liebo, MD is a medicare enrolled "Pediatrics" physician in Clackamas, Oregon. His current practice location is 9980 Se Sunnyside Rd, Clackamas, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 813-0378.

Jeffrey Stephen Liebo is licensed to practice in Oregon (license number 16716) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1831132414.

Contact Information

Jeffrey Stephen Liebo, MD
9980 Se Sunnyside Rd,
Clackamas, OR 97015-9764
(503) 813-0378
Not Available



Physician's Profile

Full NameJeffrey Stephen Liebo
GenderMale
SpecialityPediatrics
Location9980 Se Sunnyside Rd, Clackamas, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831132414
  • Provider Enumeration Date: 06/13/2006
  • Last Update Date: 07/11/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2769562016
  • Enrollment ID: I20071228000090

Medical Identifiers

Medical identifiers for Jeffrey Stephen Liebo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831132414NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 16716 (Oregon)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. Jeffrey Stephen Liebo allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

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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. Jeffrey Stephen Liebo 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
Jeffrey Stephen Liebo, MD
9800 Se Sunnyside Rd,
Clackamas, OR 97015-9750

Ph: (503) 813-0378
Jeffrey Stephen Liebo, MD
9980 Se Sunnyside Rd,
Clackamas, OR 97015-9764

Ph: (503) 813-0378

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Pediatrics Doctors in Clackamas, OR

Pooja Banginwar, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 8645 Se Sunnybrook Blvd Ste 200, Clackamas, OR 97015
Phone: 503-659-1694    Fax: 503-659-8984
Jay Joo, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-813-2000    
Dr. Bonnie Jean Aust, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 10180 Se Sunnyside Rd, Kaiser Sunnyside Medical Office, Clackamas, OR 97015
Phone: 503-652-2880    
Dr. Patricia Theresa Campbell, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-571-3418    
Mary Kathryn Brown, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9290 Se Sunnybrook Blvd, Suite 200, Clackamas, OR 97015
Phone: 503-659-1694    Fax: 503-659-8984
Dr. Tracy Jeanne Peck, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9000 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-813-2000    Fax: 503-571-3418
Nancy Tran Chen, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 8645 Se Sunnybrook Blvd Ste 200, Clackamas, OR 97015
Phone: 503-659-1694    Fax: 503-659-8984

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