| Dr Douglas Clarence Leder, DO | |
|
5 S Centre Ave Ste A3, Leesport, PA 19533-8661 | |
| (610) 921-6570 | |
| (610) 926-8352 |
| Full Name | Dr Douglas Clarence Leder |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 5 S Centre Ave Ste A3, Leesport, Pennsylvania |
| 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 |
|---|---|---|---|
| 1851824726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | OS021306 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Medical Center | Reading, PA | Hospital |
| Reading Hospital | West reading, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoenix Rehabilitation And Health Services Inc | 3476464298 | 1824 |
| St Joseph Medical Group | 3779688650 | 177 |
| Penn State Health Community Medical Group Llc | 8729351077 | 737 |
| Entity Name | St Joseph Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184754657 PECOS PAC ID: 3779688650 Enrollment ID: O20070421000011 |
| Entity Name | Penn State Health Community Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas Clarence Leder, DO 5 S Centre Ave Ste A3, Leesport, PA 19533-8661 Ph: (610) 921-6570 | Dr Douglas Clarence Leder, DO 5 S Centre Ave Ste A3, Leesport, PA 19533-8661 Ph: (610) 921-6570 |
Dr. Joanna Grzadziel, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5 S Centre Ave Ste A3, Leesport, PA 19533 Phone: 610-926-5707 Fax: 610-926-8352 | |
Timothy John Makatche, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 5 S Centre Ave, A3, Leesport, PA 19533 Phone: 610-926-5707 Fax: 610-926-8352 | |
Dr. Kenneth J. Lord, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 Robby Dr, Leesport, PA 19533 Phone: 610-223-8885 | |
Dr. David C Brock, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1011 Berk Rd, Leesport, PA 19533 Phone: 610-376-4841 Fax: 610-376-4168 | |
David W Bowers, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5471b Pottsville Pike, Leesport, PA 19533 Phone: 610-916-1050 | |
Gregory Charles Tuke, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5 S Centre Ave, A3, Leesport, PA 19533 Phone: 610-926-5707 Fax: 610-926-8352 |