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

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Dr Leesa Rae Novotny, MD is a medicare enrolled "Family Medicine" physician in Montevideo, Minnesota. She graduated from medical school in 2015 and has 9 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 NameDr Leesa Rae Novotny
GenderFemale
SpecialityFamily Practice
Experience9 Years
Location824 N 11th St, Montevideo, Minnesota
Accepts Medicare AssignmentsMay 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.
IdentifierTypeStateIssuer
1225483563NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 64617 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chippewa County HospitalMontevideo, MNHospital
Clarkfield Care CenterClarkfield, MNNursing home
Luther HavenMontevideo, MNNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ccm Health428453945332

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 NameCcm Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720086028
PECOS PAC ID: 4284539453
Enrollment ID: O20031201000642
Entity NameCcm Health
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI 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 AddressPractice 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
Emily A Hayden, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 804 N 16th St, Montevideo, MN 56265
Phone: 844-670-2273    Fax: 833-471-4119
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
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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.