Maryjane Lucille Liebling, DO

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

OS12582 Issued in FL

Practice address

2401 Manatee Ave W
Bradenton, FL 34205-4933

Phone

(941) 744-1336

NPI assigned

Jul 7, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine

Education

West Virginia School of Osteopathic Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matrix Pulmonary, P.a.Group PAC ID 6608813365, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035
• HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213
• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
• Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

93.22

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles (1 of 2)

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: maryjaneliebling@mat.ssdirect.aprima.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Matrix Pulmonary, P.a.

  • Pulmonary Disease Physician
  • Bradenton, FL
  • NPI 1982890158
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of Florida, Inc.

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1114964244
  Care Compare affiliation
• Lakewood Ranch Medical Center

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1730179714
  Care Compare affiliation
• Manatee Memorial Hospital L P

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1760472799
  Care Compare affiliation
• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1962665240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054933",
            "telephone_number": "941-744-1336",
            "fax_number": "941-746-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054933",
            "telephone_number": "941-744-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBLING",
        "first_name": "MARYJANE",
        "middle_name": "LUCILLE",
        "name_prefix": "Miss",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "OS12582",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "OS12582",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "OS12582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Vitalievna Lidgard, APRN
• Taylor Alecia Lidge
• Lisa Casale Lieb, OTR/L
• Hugh Peter Liebert, MD
• Karen F Liebert, MD
• Life Force Academy, Inc.
• Life Pharmacy Inc
• Lifestream Family Medicine P.a.
• Lifestream Therapy Inc
• Sandra Light, RPH

• Critical Care Medicine (Internal Medicine) Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Critical Care Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.