Clark J Leslie, MD in Cambridge, OH - Medicare General Surgery

Clark J Leslie, MD is a medicare enrolled "Surgery" physician in Cambridge, Ohio. He went to Ohio State University College Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Southeastern Ohio Physicians, Inc. and his current practice location is 100 Clark Ct, Cambridge, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 432-5685.

Clark J Leslie is licensed to practice in Ohio (license number 35072500) 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 1417039454.

Contact Information

	Clark J Leslie, MD
	100 Clark Ct, Cambridge, OH 43725-9395
	(740) 432-5685
	(740) 432-3812

Map and Direction

Physician's Profile

Full Name	Clark J Leslie
Gender	Male
Speciality	General Surgery
Experience	36 Years
Location	100 Clark Ct, Cambridge, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Clark J Leslie attended and graduated from Ohio State University College Of Medicine in 1988

NPI Data:

NPI Number: 1417039454
Provider Enumeration Date: 10/19/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4183657695
Enrollment ID: I20101118001097

Medical Identifiers

Medical identifiers for Clark J Leslie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417039454	NPI	-	NPPES
2023330	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	35072500 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southeastern Ohio Regional Medical Center	Cambridge, OH	Hospital
Riverside Methodist Hospital	Columbus, OH	Hospital
Coshocton Regional Medical Center	Coshocton, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Ohio Physicians, Inc.	7012940521	3

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. Clark J Leslie allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Ohio Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477635480 PECOS PAC ID: 7012940521 Enrollment ID: O20050915000242

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. Clark J Leslie 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 Address	Practice Location Address
Clark J Leslie, MD 100 Clark Ct, Cambridge, OH 43725-9395 Ph: (740) 432-5685	Clark J Leslie, MD 100 Clark Ct, Cambridge, OH 43725-9395 Ph: (740) 432-5685

Reviews and Comments

Surgery Doctors in Cambridge, OH

Dr. Michael D Sarap, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Clark Ct, Cambridge, OH 43725 Phone: 740-432-5685 Fax: 740-432-3812
Dr. Joshua Alan Paulick, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Clark Ct, Cambridge, OH 43725 Phone: 937-776-2256

Clark J Leslie, MD - Medicare General Surgery in Cambridge, OH