| Dr Richard J Leidinger, MD | |
|
286 Hospital Loop, Berlin, VT 05602-9523 | |
| (802) 371-4820 | |
| (802) 371-4855 |
| Full Name | Dr Richard J Leidinger |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 39 Years |
| Location | 286 Hospital Loop, Berlin, Vermont |
| 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 |
|---|---|---|---|
| 1073605994 | NPI | - | NPPES |
| 1021260 | Medicaid | VT | |
| 003108601 | Other | VT | MEDICARE PIN LINKED TO VN3891 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 013870 (Maine) | Secondary |
| 208800000X | Urology | 042.0012561 (Vermont) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| A R Gould Hospital | Presque isle, ME | Hospital |
| Cary Medical Center | Caribou, ME | Hospital |
| Houlton Regional Hospital | Houlton, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aroostook Medical Center | 1153233663 | 110 |
| Entity Name | Aroostook Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396858999 PECOS PAC ID: 1153233663 Enrollment ID: O20031104000020 |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Entity Name | Penobscot Bay Physicians & Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497799720 PECOS PAC ID: 4981592383 Enrollment ID: O20040824000665 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard J Leidinger, MD Po Box 547, Barre, VT 05641-0547 Ph: (802) 371-4820 | Dr Richard J Leidinger, MD 286 Hospital Loop, Berlin, VT 05602-9523 Ph: (802) 371-4820 |
Dr. John Andrew Dreslin, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 130 Fisher Rd, Mob-c,ste 1, Cvmc Urology, Berlin, VT 05602 Phone: 802-371-4820 Fax: 802-371-4855 | |
Michael S Cohn, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 130 Fisher Rd, Mob-c, Ste 1, Berlin, VT 05602 Phone: 802-371-4820 Fax: 802-371-4855 | |
Donald F. Lynch, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 130 Fisher Rd, Mob-c Suite 1, Berlin, VT 05602 Phone: 802-371-4820 Fax: 802-371-4855 | |
John Joseph Horan, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 130 Fisher Rd, Berlin, VT 05602 Phone: 802-371-4820 | |
Dr. Daniel Dean Sackett, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 130 Fisher Rd, Berlin, VT 05602 Phone: 802-371-4855 |