Eric J Leestma, is a medicare enrolled "Family Medicine" physician in Demotte, Indiana. He went to Chicago College Of Osteopathy and graduated in 1978 and has 46 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Leestma Medical Clinic, Inc and his current practice location is
519 N Halleck, Demotte, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 987-7750.
Eric J Leestma is licensed to practice in Indiana (license number 02000641A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700989233.
Physician's Profile
| Full Name | Eric J Leestma |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 46 Years |
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| Location | 519 N Halleck, Demotte, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Eric J Leestma attended and graduated from Chicago College Of Osteopathy in 1978
NPI Data:
- NPI Number: 1700989233
- Provider Enumeration Date: 09/07/2006
- Last Update Date: 05/10/2010
Medicare PECOS Information:
- PECOS PAC ID: 8820997232
- Enrollment ID: I20100312000666
Medical Identifiers
Medical identifiers for Eric J Leestma such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700989233 | NPI | - | NPPES |
| 100209310A | Medicaid | IN | |
| 36655 | Other | IN | INDIANA HEALTH NETWORK |
| 000000084931 | Other | IN | ANTHEM BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 02000641A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Leestma Medical Clinic, Inc | 1850290263 | 2 |
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. Eric J Leestma allows following entities to bill medicare on his behalf.
| Entity Name | Leestma Medical Clinic, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487986451
PECOS PAC ID: 1850290263
Enrollment ID: O20040105000827 |
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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. Eric J Leestma 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 |
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Eric J Leestma,
Po Box 850,
Demotte, IN 46310-0850
Ph: (219) 987-7750 | Eric J Leestma,
519 N Halleck,
Demotte, IN 46310
Ph: (219) 987-7750 |
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