Dr Staci Alison Leisman, MD in New York, NY

Dr Staci Alison Leisman, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in New York, New York. She went to Washington University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Icahn School Of Medicine At Mount Sinai and her current practice location is 1 Gustave L Levy Pl, Box 1243, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 241-8004.

Dr Staci Alison Leisman is licensed to practice in New York (license number 233089) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316104631.

Contact Information

	Dr Staci Alison Leisman, MD
	1 Gustave L Levy Pl, Box 1243, New York, NY 10029-6500
	(212) 241-8004
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Staci Alison Leisman
Gender	Female
Speciality	Nephrology
Experience	21 Years
Location	1 Gustave L Levy Pl, New York, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Staci Alison Leisman attended and graduated from Washington University School Of Medicine in 2003

NPI Data:

NPI Number: 1316104631
Provider Enumeration Date: 05/22/2008
Last Update Date: 05/22/2008

Medicare PECOS Information:

PECOS PAC ID: 4284784711
Enrollment ID: I20090604000130

Medical Identifiers

Medical identifiers for Dr Staci Alison Leisman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316104631	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	233089 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ridgewood Dialysis Center, Inc.	New york, NY	Dialysis facility
Mount Sinai Hospital	New york, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Icahn School Of Medicine At Mount Sinai	2264691070	2339

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 Staci Alison Leisman allows following entities to bill medicare on her behalf.

Entity Name	Icahn School Of Medicine At Mount Sinai
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144581182 PECOS PAC ID: 2264691070 Enrollment ID: O20121128000010

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 Staci Alison Leisman 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 Staci Alison Leisman, MD 1 Gustave L Levy Pl, Box 1243, New York, NY 10029-6500 Ph: (212) 241-8004	Dr Staci Alison Leisman, MD 1 Gustave L Levy Pl, Box 1243, New York, NY 10029-6500 Ph: (212) 241-8004

Reviews and Comments

Internal Medicine Doctors in New York, NY

Dr. Ravishankar Ramaswamy, MD, MS Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1440 Madison Avenue, New York, NY 10029 Phone: 212-659-8552 Fax: 212-860-9737
Dr. Pietro Alessandro Ambrogio Canetta, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 622 W 168th St, Ph4-124, New York, NY 10032 Phone: 212-305-5020 Fax: 212-305-6692
Dr. Rakhshan Mahmood Chida, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 327 E 17th St, New York, NY 10003 Phone: 212-420-5690
Charles D Resor, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 622 W 168th St, New York, NY 10032 Phone: 212-305-2913
Dr. Jacqueline Yuey Lonier, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1150 Saint Nicholas Ave, New York, NY 10032 Phone: 212-851-5494
Dr. Sharon Uralil, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-3293
Diana Kantor, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 775 9th Ave, New York, NY 10019 Phone: 212-586-1550

Dr Staci Alison Leisman, MD - Medicare Nephrology in New York, NY