Dr David Leo Fedders, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" provider in Cincinnati, Ohio. His current practice location is
1 W 4th St, Rm 2250, Cincinnati, Ohio. You can reach out to his office (for appointments etc.) via phone at
(513) 723-0390.
Dr David Leo Fedders is licensed to practice in Indiana (license number 01075325A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780796722.
Healthcare Provider's Profile
| Full Name | Dr David Leo Fedders |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 1 W 4th St, Cincinnati, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780796722
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 05/18/2015
Medicare PECOS Information:
- PECOS PAC ID: 1355247859
- Enrollment ID: I20031208000256
Medical Identifiers
Medical identifiers for Dr David Leo Fedders such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780796722 | NPI | - | NPPES |
| 0368927 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 034451 (Ohio) | Secondary |
| 174400000X | Specialist | 04451 (Ohio) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01075325A (Indiana) | Primary |
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. Dr David Leo Fedders 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 |
Dr David Leo Fedders, MD 1 W 4th St, Rm 2250, Cincinnati, OH 45202-3604 Ph: (513) 723-0390 | Dr David Leo Fedders, MD 1 W 4th St, Rm 2250, Cincinnati, OH 45202-3604 Ph: (513) 723-0390 |
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