| Dr Kathleen A Leinen, DO | |
|
106 S 1st St Ste 100, Fairbury, IL 61739-1509 | |
| (815) 692-2308 | |
| (815) 692-3278 |
| Full Name | Dr Kathleen A Leinen |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 20 Years |
| Location | 106 S 1st St Ste 100, Fairbury, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760630925 | NPI | - | NPPES |
| N0919 | Other | TX | TX LICENSE |
| 036121354 | Medicaid | IL | |
| 209713102 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036121354 (Illinois) | Primary |
| 207Q00000X | Family Medicine | N0919 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Home Health-eastern Region | Normal, IL | Home health agency |
| Saint James Hospital | Pontiac, IL | Hospital |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint James Hospital | 0648187252 | 58 |
| Entity Name | Saint James Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790735421 PECOS PAC ID: 0648187252 Enrollment ID: O20040804001073 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kathleen A Leinen, DO 106 S 1st St Ste 100, Fairbury, IL 61739-1509 Ph: (815) 692-2308 | Dr Kathleen A Leinen, DO 106 S 1st St Ste 100, Fairbury, IL 61739-1509 Ph: (815) 692-2308 |
Rachel Marie Wenger, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 S Clay St, Fairbury, IL 61739 Phone: 815-692-1150 Fax: 815-692-1153 | |
Dr. Cesar M Secoquian, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5 Timber Ridge Dr, Fairbury, IL 61739 Phone: 815-692-3212 |