| Frederic Stuart Leeds, MD | |
|
3033 Kettering Blvd Ste 100, Moraine, OH 45439-1948 | |
| (937) 293-2133 | |
| Not Available |
| Full Name | Frederic Stuart Leeds |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 3033 Kettering Blvd Ste 100, Moraine, Ohio |
| 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 |
|---|---|---|---|
| 1902875347 | NPI | - | NPPES |
| 2097449 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 35075225 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | 35075225 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Five Rivers Health Centers | 9335300904 | 27 |
| Entity Name | Wright State Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114920329 PECOS PAC ID: 7618889320 Enrollment ID: O20031103000097 |
| Entity Name | Samaritan Behavioral Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205888641 PECOS PAC ID: 0244148625 Enrollment ID: O20101007000860 |
| Entity Name | Five Rivers Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104115823 PECOS PAC ID: 9335300904 Enrollment ID: O20120409000638 |
| Mailing Address | Practice Location Address |
|---|---|
| Frederic Stuart Leeds, MD Po Box 40412, Belfast, ME 04915-1255 Ph: (330) 896-5651 | Frederic Stuart Leeds, MD 3033 Kettering Blvd Ste 100, Moraine, OH 45439-1948 Ph: (937) 293-2133 |
Dr. Dixie R Mullennix, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5350 Lamme Rd, Moraine, OH 45439 Phone: 937-451-3123 Fax: 937-350-6477 | |
Marjorie Lynn Loving, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5350 Lamme Rd, Moraine, OH 45439 Phone: 937-451-3123 Fax: 937-350-6477 | |
Evelyn R Mote, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3033 Kettering Blvd Ste 100, Moraine, OH 45439 Phone: 937-293-2133 Fax: 855-252-2435 | |
Cindy Ann Smith, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3033 Kettering Blvd Ste 100, Moraine, OH 45439 Phone: 937-293-2133 | |
David D Goldberg, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3033 Kettering Blvd, Suite 100, Moraine, OH 45439 Phone: 937-293-2133 Fax: 937-293-2161 | |
Blaise Gatto, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3033 Kettering Blvd, Suite 100, Moraine, OH 45439 Phone: 937-293-2133 Fax: 937-293-2161 | |
Leonardo Guirnalda, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3033 Kettering Blvd, Suite 100, Moraine, OH 45439 Phone: 937-293-2133 Fax: 937-293-2161 |