David Michael Leedy, PAC is a
Physician Assistant physician based in Winston Salem, North Carolina. David Michael Leedy is licensed to practice in North Carolina (license number 103499) and his current practice location is Medical Center Blvd, Winston Salem, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(336) 716-2255.
NPI number for David Michael Leedy is 1295719318 and his current mailing address is Po Box 602658, Charlotte, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295719318.
Physician's Profile
| Full Name | David Michael Leedy |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | Medical Center Blvd, Winston Salem, North Carolina |
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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: 1295719318
- Provider Enumeration Date: 12/01/2005
- Last Update Date: 09/29/2020
Medical Identifiers
Medical identifiers for David Michael Leedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295719318 | NPI | - | NPPES |
| 7925613 | Other | NC | AETNA |
| B7667 | Other | NC | MEDCOST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RH0000X | Internal Medicine - Hematology | 103499 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 103499 (North Carolina) | 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. David Michael Leedy 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 |
|---|
David Michael Leedy, PAC
Po Box 602658,
Charlotte, NC 28260-2658
Ph: (336) 716-2255 | David Michael Leedy, PAC
Medical Center Blvd,
Winston Salem, NC 27157-0001
Ph: (336) 716-2255 |
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