DR. MARYANA LIEDKE DO NPI 1386987956

NPI Details

DR. Maryana Liedke, DO is a neurology psychiatry neurology in Port Jefferson Station, NY with 13 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Maryana Liedke, DO NPI is 1386987956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year:2013

The provider's business location address is:

1010 ROUTE 112 STE 300
PORT JEFFERSON STATION, NY
ZIP 11776-386
Phone: (631) 364-9119

The NPI 1386987956 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Infusion into a vein for therapy, prevention, or diagnosis, each additional hour (HCPCS:96366)
• Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less (HCPCS:96365)
• Injection of trigger points, 3 or more muscles (HCPCS:20553)
• Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
• Infusion, normal saline solution, 250 cc (HCPCS:J7050)
• Injection of trigger points, 1-2 muscles (HCPCS:20552)
• Injection of drug or substance under skin or into muscle (HCPCS:96372)
• New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
• Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face (HCPCS:64615)
• Evaluation of neuropsychological test, first hour (HCPCS:96132)

The enumeration date for this NPI number is 4/2/2013 and was last updated on 12/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: