Bruce C Leitkam, DO is a
General Practice physician based in Linden, Michigan. Bruce C Leitkam is licensed to practice in Michigan (license number 5101006591) and his current practice location is 490 W Broad St, Linden, Michigan. He can be reached at his office (for appointments etc.) via phone at
(810) 735-1231.
NPI number for Bruce C Leitkam is 1922066356 and his current mailing address is 490 W Broad St, Po Box 605, Linden, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922066356.
Physician's Profile
| Full Name | Bruce C Leitkam |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 490 W Broad St, Linden, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922066356
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 01/22/2010
Medical Identifiers
Medical identifiers for Bruce C Leitkam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922066356 | NPI | - | NPPES |
| 4075401 | Other | MI | AETNA |
| 1552457 | Medicaid | MI | |
| M028466 | Other | MI | TRICARE |
| 015251061 | Other | MI | BLUECROSS BLUE SHIELD OF |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 5101006591 (Michigan) | 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. Bruce C Leitkam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bruce C Leitkam, DO
490 W Broad St, Po Box 605,
Linden, MI 48451-8768
Ph: (810) 735-1231 | Bruce C Leitkam, DO
490 W Broad St,
Linden, MI 48451-8768
Ph: (810) 735-1231 |
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