| Leonard Leveille, MD | |
|
4480 W Spencer St, Appleton, WI 54914-9106 | |
| (920) 738-4800 | |
| (920) 738-5749 |
| Full Name | Leonard Leveille |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 4480 W Spencer St, Appleton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205871779 | NPI | - | NPPES |
| 001345003 | Other | WI | MEDICARE PTAN |
| 32174700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 37221 (Wisconsin) | Primary |
| Entity Name | Thedacare Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Leonard Leveille, MD Po Box 8003, Appleton, WI 54912-8003 Ph: (920) 996-3298 | Leonard Leveille, MD 4480 W Spencer St, Appleton, WI 54914-9106 Ph: (920) 738-4800 |
Michael John Van Abel, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3916 N Intertech Ct, Appleton, WI 54913 Phone: 920-996-1000 | |
Stephen C Fuller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3916 N Intertech Ct, Appleton, WI 54913 Phone: 920-996-1000 | |
Samuel James Heiks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3916 N Intertech Ct, Appleton, WI 54913 Phone: 920-996-1000 Fax: 920-996-1054 | |
Brittany E Goodrich-braun, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-830-6877 | |
Dirk Jon Derksen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Wagon Wheel Dr, Appleton, WI 54913 Phone: 920-731-6374 | |
Ms. Cynthia Frances Susedik, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-830-6877 Fax: 920-993-5037 | |
N Carter Noble, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3329 N Richmond St, Appleton, WI 54911 Phone: 920-380-2715 |