Jennifer G Liedtke (NPI# 1700172426, PAC ID# 8224259841) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1700172426 |
| PAC ID by PECOS | 8224259841 |
| Professional Enrollment ID | I20141024000650 |
| Full Name | Jennifer G Liedtke |
| Organization Legal Name | DISCOVERY MEDICAL NETWORK SWEETWATER LLC |
| Address |
301 Jenny George Ln Sweetwater TX 79556-7152 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 6608025176 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450055 | ROLLING PLAINS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 301 Jenny George Ln, Sweetwater, TX 79556-7152 | DISCOVERY MEDICAL NETWORK SWEETWATER LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 98% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 98% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | DISCOVERY MEDICAL NETWORK SWEETWATER LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James E Marvel | Orthopedic Surgery | Discovery Medical Network Sweetwater LLC | 301 Jenny George Ln, Sweetwater, TX 79556-7152 |
| Jairo L Bermudez | Internal Medicine | Discovery Medical Network Sweetwater LLC | 301 Jenny George Ln, Suite E, Sweetwater, TX 79556-7145 |
| Hayley A Blackwell | Physician Assistant | Discovery Medical Network Sweetwater LLC | 301 Jenny George Ln, Sweetwater, TX 79556-7152 |
| Robert G Eaker | Family Medicine | Discovery Medical Network Sweetwater LLC | 301 Jenny George Ln, Sweetwater, TX 79556-7152 |
| Douglas A Waldman | Orthopedic Surgery | Discovery Medical Network Sweetwater LLC | 301 Jenny George Ln, Suite A, Sweetwater, TX 79556-7145 |
| Rosa L Best | Nurse Practitioner | Discovery Medical Network Sweetwater LLC | 301 Jenny George Ln, Sweetwater, TX 79556-7152 |
| Elizabeth Burnett | Nurse Practitioner | Discovery Medical Network Sweetwater LLC | 301 Jenny George Ln, Sweetwater, TX 79556-7152 |
| Erica Blace Garcia | Nurse Practitioner | Discovery Medical Network Sweetwater LLC | 301 Jenny George Ln, Sweetwater, TX 79556-7152 |
| Street Address |
301 JENNY GEORGE LN |
| City | SWEETWATER |
| State | TX |
| Zip | 79556-7152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James E Marvel | Orthopedic Surgery | Discovery Medical Network Sweetwater LLC | 301 Jenny George Ln, Sweetwater, TX 79556-7152 |
| April Enard | Family Medicine | Hendrick Provider Network | 301 Jenny George Ln, Suite B, Sweetwater, TX 79556-7145 |
| Jairo L Bermudez | Internal Medicine | Discovery Medical Network Sweetwater LLC | 301 Jenny George Ln, Suite E, Sweetwater, TX 79556-7145 |
| Hayley A Blackwell | Physician Assistant | Discovery Medical Network Sweetwater LLC | 301 Jenny George Ln, Sweetwater, TX 79556-7152 |
| Robert G Eaker | Family Medicine | Discovery Medical Network Sweetwater LLC | 301 Jenny George Ln, Sweetwater, TX 79556-7152 |
| Douglas A Waldman | Orthopedic Surgery | Discovery Medical Network Sweetwater LLC | 301 Jenny George Ln, Suite A, Sweetwater, TX 79556-7145 |
| Rosa L Best | Nurse Practitioner | Discovery Medical Network Sweetwater LLC | 301 Jenny George Ln, Sweetwater, TX 79556-7152 |
| Elizabeth Burnett | Nurse Practitioner | Discovery Medical Network Sweetwater LLC | 301 Jenny George Ln, Sweetwater, TX 79556-7152 |
| Erica Blace Garcia | Nurse Practitioner | Discovery Medical Network Sweetwater LLC | 301 Jenny George Ln, Sweetwater, TX 79556-7152 |
| Rachel Alicia Smith | Physician Assistant | Texas Oncology Pa | 301 Jenny George Ln, Sweetwater, TX 79556-7152 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chyn-ni Hu Clark | Optometry | Eye Medicial Associates of Abilene | 1406 Hailey St, Sweetwater, TX 79556-2508 |
| Cody Joe Wilkinson | Optometry | 1406 Hailey St, Sweetwater, TX 79556-2508 | |
| Kerry Preston | Optometry | Eye Medicial Associates of Abilene | 1406 Hailey St, Sweetwater, TX 79556-2508 |
| Curtis Lee Walker | Chiropractic | 900 E 15th St, Sweetwater, TX 79556-2562 | |
| George C Lindsey | Family Medicine | Shannon Clinic | 201 E Arizona Ave, Sweetwater, TX 79556-7119 |
| Jeremy Ray Smola | Family Medicine | Rolling Plains Memorial Hospital | 201 E Arizona Ave, Sweetwater, TX 79556-7119 |
| Larry E Mceachern | General Practice | Rolling Plains Memorial Hospital | 201 E Arizona Ave, Sweetwater, TX 79556-7119 |
| Luther C Martin | Family Practice | Rolling Plains Memorial Hospital | 201 E Arizona Ave, Sweetwater, TX 79556-7119 |
| Adam E Majkowski | Emergency Medicine | Hubbard Creek Emergency Physicians Pllc | 200 E Arizona Ave, Rolling Plain Memorial Hospital, Sweetwater, TX 79556-7120 |
| Anthony S Rossettie | Emergency Medicine | Hubbard Creek Emergency Physicians Pllc | 200 E Arizona Ave, Rolling Plain Memorial Hospital, Sweetwater, TX 79556-7120 |
| Find all physicians in zip 79556 | |||
| City | SWEETWATER |
| Zip Code | 79556 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SWEETWATER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jennifer G Liedtke.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.