| Brent Leedle, MD | |
|
606 N 3rd Ave Ste 201, Sandpoint, ID 83864-1689 | |
| (208) 263-8597 | |
| (208) 265-0667 |
| Full Name | Brent Leedle |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 28 Years |
| Location | 606 N 3rd Ave Ste 201, Sandpoint, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306830922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 8474 (Montana) | Secondary |
| 207X00000X | Orthopaedic Surgery | M-10527 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bonner General Hospital | Sandpoint, ID | Hospital |
| Boundary Community Hospital | Bonners ferry, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bonner General Hospital Inc | 4082690466 | 41 |
| Entity Name | Bonner General Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154563963 PECOS PAC ID: 4082690466 Enrollment ID: O20040626000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Leedle, MD 606 N 3rd Ave Ste 201, Sandpoint, ID 83864-1689 Ph: (208) 263-8597 | Brent Leedle, MD 606 N 3rd Ave Ste 201, Sandpoint, ID 83864-1689 Ph: (208) 263-8597 |
Mr. Douglas Alan Cipriano, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 606 N. 3rd Avenue, Suite 201, Sandpoint, ID 83864 Phone: 208-263-8597 Fax: 208-265-0667 | |
Dr. Jonathan Klaucke, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 606 N Third Ave Ste 201, Sandpoint, ID 83864 Phone: 208-263-8597 |