| Jason E Leedy, MD | |
|
2060 Lander Rd, Mayfield Heights, OH 44124-4100 | |
| (440) 461-6100 | |
| (440) 461-1440 |
| Full Name | Jason E Leedy |
|---|---|
| Gender | Male |
| Speciality | Surgery - Plastic And Reconstructive Surgery |
| Location | 2060 Lander Rd, Mayfield Heights, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154416857 | NPI | - | NPPES |
| 000000376503 | Other | OH | ANTHEM BLUE SHIELD |
| R85266 | Other | OH | SUMMACARE |
| 2598916 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 35085266 (Ohio) | Primary |
| Entity Name | Jason E Leedy Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346319092 PECOS PAC ID: 3779514849 Enrollment ID: O20050829000444 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason E Leedy, MD Po Box 660, Mentor, OH 44061-0660 Ph: (440) 854-0217 | Jason E Leedy, MD 2060 Lander Rd, Mayfield Heights, OH 44124-4100 Ph: (440) 461-6100 |
Andrew Francis Feczko, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6780 Mayfield Rd, Mayfield Heights, OH 44124 Phone: 216-379-2797 | |
Dr. Megan Victoria Beems, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6780 Mayfield Rd, Mayfield Heights, OH 44124 Phone: 440-312-4500 | |
Christine Larosa, Surgery Medicare: Medicare Enrolled Practice Location: 6780 Mayfield Rd, Mayfield Heights, OH 44124 Phone: 440-312-4500 | |
Ms. Cara Ann Lyle, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6780 Mayfield Rd, Mayfield Heights, OH 44124 Phone: 216-903-6689 Fax: 216-444-9324 | |
Ina Chen, MD Surgery Medicare: Medicare Enrolled Practice Location: 6780 Mayfield Rd, Mayfield Heights, OH 44124 Phone: 440-312-1101 Fax: 440-312-7715 |