Lawrence Martin Lieblich, MD - Medicare Dermatology in Smithtown, NY

Lawrence Martin Lieblich, MD is a medicare enrolled "Dermatology" physician in Smithtown, New York. He went to Stanford University School Of Medicine and graduated in 1977 and has 47 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice North Shore - Lij Medical Pc and his current practice location is 9 Brooksite Dr, Smithtown, New York. You can reach out to his office (for appointments etc.) via phone at (631) 390-7800.

Lawrence Martin Lieblich is licensed to practice in New York (license number 135570) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619985462.

Contact Information

Lawrence Martin Lieblich, MD
9 Brooksite Dr,
Smithtown, NY 11787-3400
(631) 390-7800
(631) 390-7821



Physician's Profile

Full NameLawrence Martin Lieblich
GenderMale
SpecialityDermatology
Experience47 Years
Location9 Brooksite Dr, Smithtown, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lawrence Martin Lieblich attended and graduated from Stanford University School Of Medicine in 1977
  NPI Data:
  • NPI Number: 1619985462
  • Provider Enumeration Date: 08/04/2006
  • Last Update Date: 12/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7113053422
  • Enrollment ID: I20100325000852

Medical Identifiers

Medical identifiers for Lawrence Martin Lieblich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619985462NPI-NPPES
68A30OtherNYEMPIRE BCBS
00770021MedicaidNY
11-2644403OtherNYEMPIRE PLAN
218790POtherNYHIP
AJ48951OtherNYMDNY
218791POtherNYHIP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 135570 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore - Lij Medical Pc33757015685099

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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. Lawrence Martin Lieblich allows following entities to bill medicare on his behalf.
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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Entity NameBasuk Medical Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518206366
PECOS PAC ID: 5698915650
Enrollment ID: O20130716000255

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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. Lawrence Martin Lieblich 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
Lawrence Martin Lieblich, MD
39 Old Coach Rd,
East Setauket, NY 11733-3818

Ph: (631) 821-4789
Lawrence Martin Lieblich, MD
9 Brooksite Dr,
Smithtown, NY 11787-3400

Ph: (631) 390-7800

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PhD candidate Ms Janice Withnall, from the University of Western Sydney (UWS) School of Education, is carrying out the project in a bid to better understand the experiences of women who have successfully stopped drinking.

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Dermatology Doctors in Smithtown, NY

Ms. Tamara Koss, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 260 Middle Country Rd, Suite 208, Smithtown, NY 11787
Phone: 631-863-3223    Fax: 631-863-3334
Michael Fastenberg, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 260 Middle Country Rd, Suite 208, Smithtown, NY 11787
Phone: 631-863-3223    Fax: 631-863-3334
Faith Leslie Leffel, RPA C
Dermatology
Medicare: Medicare Enrolled
Practice Location: 327 E Main St, Smithtown, NY 11787
Phone: 631-979-0909    Fax: 631-979-0455
Dr. Donna April Serure, D.O.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 327 E Main St, Smithtown, NY 11787
Phone: 631-979-0909    Fax: 631-979-0455
Dr. Snehal P Amin, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 327 Middle Country Rd, Smithtown, NY 11787
Phone: 631-979-0909    Fax: 631-979-0455
Dr. Audra Marie Malerba, D.O.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 327 E Main St, Smithtown, NY 11787
Phone: 631-979-0909    Fax: 631-979-0455

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