Frederick E Leickly, MD is a medicare enrolled "Allergy & Immunology" physician in Columbus, Indiana. His current practice location is
2665 Fox Pointe Dr, Columbus, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 378-3131.
Frederick E Leickly is licensed to practice in Indiana (license number 01042436A) 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 1679682710.
Physician's Profile
| Full Name | Frederick E Leickly |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 2665 Fox Pointe Dr, Columbus, 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:
- Frederick E Leickly attended and graduated from in
NPI Data:
- NPI Number: 1679682710
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 05/03/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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
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 |
|---|
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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