Leslie Carol Bardessono, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Lake Elsinore, California. Her current practice location is
31764 Casino Dr # 300, Lake Elsinore, California. You can reach out to her office (for appointments etc.) via phone at
(951) 471-4645.
Leslie Carol Bardessono is licensed to practice in California (license number 20A20848) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952755191.
Physician's Profile
| Full Name | Leslie Carol Bardessono |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 31764 Casino Dr # 300, Lake Elsinore, California |
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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: 1952755191
- Provider Enumeration Date: 04/13/2016
- Last Update Date: 06/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890129449
- Enrollment ID: I20200630002130
Medical Identifiers
Medical identifiers for Leslie Carol Bardessono such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952755191 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 032.0134075 (Vermont) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | E-12371 (Arkansas) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0200619A (Indiana) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 13060A (Wyoming) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20A20848 (California) | 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. Leslie Carol Bardessono allows following entities to bill medicare on her behalf.
| Entity Name | Uhs Of Wyoming, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295709822
PECOS PAC ID: 9830111442
Enrollment ID: O20060109000787 |
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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. Leslie Carol Bardessono 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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Leslie Carol Bardessono, DO
2242 S Sweetbriar Cir,
Bloomington, IN 47401-4600
Ph: (707) 332-9048 | Leslie Carol Bardessono, DO
31764 Casino Dr # 300,
Lake Elsinore, CA 92530-2312
Ph: (951) 471-4645 |
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