Leo Arnold Conger Jr, is a medicare enrolled "Dermatology" physician in Belton, Texas. His current practice location is
1300 E. 6th Avenue, Belton, Texas. You can reach out to his office (for appointments etc.) via phone at
(254) 778-5400.
Leo Arnold Conger Jr is licensed to practice in Texas (license number G8813) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1588665772.
Physician's Profile
| Full Name | Leo Arnold Conger Jr |
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| Gender | Male |
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| Speciality | Dermatology |
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| Location | 1300 E. 6th Avenue, Belton, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588665772
- Provider Enumeration Date: 08/10/2005
- Last Update Date: 08/04/2017
Medicare PECOS Information:
- PECOS PAC ID: 4587685110
- Enrollment ID: I20100915000533
Medical Identifiers
Medical identifiers for Leo Arnold Conger Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588665772 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | G8813 (Texas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Leo Arnold Conger Jr allows following entities to bill medicare on his behalf.
| Entity Name | Oliver Street 5.01(a) Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457695413
PECOS PAC ID: 0042464125
Enrollment ID: O20130128000189 |
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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. Leo Arnold Conger Jr 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 |
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Leo Arnold Conger Jr,
1300 East 6th Ave,
Belton, TX 76513
Ph: (254) 778-5400 | Leo Arnold Conger Jr,
1300 E. 6th Avenue,
Belton, TX 76513-2810
Ph: (254) 778-5400 |
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