Dr Leesa Rae Novotny, MD in Montevideo, MN

Dr Leesa Rae Novotny, MD is a medicare enrolled "Family Medicine" physician in Montevideo, Minnesota. She graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Ccm Health and her current practice location is 824 N 11th St, Montevideo, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 269-8877.

Dr Leesa Rae Novotny is licensed to practice in Minnesota (license number 64617) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1225483563.

Contact Information

	Dr Leesa Rae Novotny, MD
	824 N 11th St, Montevideo, MN 56265
	(320) 269-8877
	(320) 269-8186

Map and Direction

Physician's Profile

Full Name	Dr Leesa Rae Novotny
Gender	Female
Speciality	Family Practice
Experience	10 Years
Location	824 N 11th St, Montevideo, Minnesota
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Leesa Rae Novotny graduated from medical school in 2015

NPI Data:

NPI Number: 1225483563
Provider Enumeration Date: 04/24/2016
Last Update Date: 12/29/2021

Medicare PECOS Information:

PECOS PAC ID: 9931480340
Enrollment ID: I20190826002202

Medical Identifiers

Medical identifiers for Dr Leesa Rae Novotny such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225483563	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	64617 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Chippewa County Hospital	Montevideo, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ccm Health	4284539453	48

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Leesa Rae Novotny allows following entities to bill medicare on her behalf.

Entity Name	Ccm Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720086028 PECOS PAC ID: 4284539453 Enrollment ID: O20031201000642

Entity Name	Ccm Health
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1720086028 PECOS PAC ID: 4284539453 Enrollment ID: O20060504000810

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. Dr Leesa Rae Novotny is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Leesa Rae Novotny, MD 824 N 11th St, Montevideo, MN 56265 Ph: (320) 269-8877	Dr Leesa Rae Novotny, MD 824 N 11th St, Montevideo, MN 56265 Ph: (320) 269-8877

Reviews and Comments

Family Medicine Doctors in Montevideo, MN

Mr. Thomas Glenn Birkey, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 725 N 1st St, Montevideo, MN 56265 Phone: 320-269-9798
Richard Vandenberg, D.O Family Medicine Medicare: Medicare Enrolled Practice Location: 1025 N 13th St, Montevideo, MN 56265 Phone: 320-269-2222 Fax: 320-269-8929
Dr. Bruce Wesley Arvold, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 824 N 11th St, Montevideo, MN 56265 Phone: 320-269-8877 Fax: 320-269-8186
Kevin A Myhre, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 824 N 11th St, Montevideo, MN 56265 Phone: 320-269-8877 Fax: 320-269-8186
Elizabeth Rose Orr, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 824 N 11th St, Montevideo, MN 56265 Phone: 320-269-8877 Fax: 320-321-8200
Dr. Lana Jane Dirksen, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 824 N 11th St, Montevideo, MN 56265 Phone: 320-269-6435

Dr Leesa Rae Novotny, MD - Medicare Family Practice in Montevideo, MN