Leah Marie Vidal, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Pinehurst, North Carolina. She went to Wake Forest University School Of Medicine and graduated in 2024 and has 2 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Pinehurst Surgical Clinic Pa and her current practice location is
5 First Village Dr, Pinehurst, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 295-6831.
Leah Marie Vidal is licensed to practice in North Carolina (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124865209.
Physician's Profile
| Full Name | Leah Marie Vidal |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 2 Years |
|---|
| Location | 5 First Village Dr, Pinehurst, North Carolina |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Leah Marie Vidal attended and graduated from Wake Forest University School Of Medicine in 2024
NPI Data:
- NPI Number: 1124865209
- Provider Enumeration Date: 07/15/2024
- Last Update Date: 08/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971043209
- Enrollment ID: I20240912002634
Medical Identifiers
Medical identifiers for Leah Marie Vidal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124865209 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 0010-14407 (North Carolina) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pinehurst Surgical Clinic Pa | 4587561394 | 86 |
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. Leah Marie Vidal 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 |
|---|
Leah Marie Vidal, PA-C
5 First Village Dr,
Pinehurst, NC 28374-9495
Ph: (321) 591-9367 | Leah Marie Vidal, PA-C
5 First Village Dr,
Pinehurst, NC 28374-9495
Ph: (910) 295-6831 |
Reviews and Comments