Frederick E Leickly, MD is a
Allergy & Immunology physician based in Columbus, Indiana. Frederick E Leickly is licensed to practice in Indiana (license number 01042436A) and his current practice location is 2665 Fox Pointe Dr, Columbus, Indiana. He can be reached at his office (for appointments etc.) via phone at
(812) 378-3131.
NPI number for Frederick E Leickly is 1679682710 and his current mailing address is Dept. 453 Po Box 1000, Memphis, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679682710.
Physician's Profile
| Full Name | Frederick E Leickly |
|---|
| Gender | Male |
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| Speciality | Allergy & Immunology |
|---|
| Location | 2665 Fox Pointe Dr, Columbus, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679682710
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 05/03/2022
Medical Identifiers
Medical identifiers for Frederick E Leickly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679682710 | NPI | - | NPPES |
| 100379150 | Medicaid | IN | |
| IN1125015 | Other | IN | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | 01042436A (Indiana) | Primary |
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. Frederick E Leickly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Frederick E Leickly, MD
Dept. 453 Po Box 1000,
Memphis, TN 38148-0001
Ph: (828) 575-2625 | Frederick E Leickly, MD
2665 Fox Pointe Dr,
Columbus, IN 47203-3222
Ph: (812) 378-3131 |
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