Liane J Leedom, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Trumbull, Connecticut. She went to University Of Southern California Keck School Of Medicine and graduated in 1987 and has 39 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Central Connecticut Behavioral Health Llc and her current practice location is
140 Old Dike Rd, Trumbull, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 615-1633.
Liane J Leedom is licensed to practice in Connecticut (license number 31647) 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 1063702595.
Physician's Profile
| Full Name | Liane J Leedom |
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| Gender | Female |
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| Speciality | Psychiatry |
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| Experience | 39 Years |
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| Location | 140 Old Dike Rd, Trumbull, Connecticut |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Liane J Leedom attended and graduated from University Of Southern California Keck School Of Medicine in 1987
NPI Data:
- NPI Number: 1063702595
- Provider Enumeration Date: 04/18/2011
- Last Update Date: 04/18/2011
Medicare PECOS Information:
- PECOS PAC ID: 8729037502
- Enrollment ID: I20050119000551
Medical Identifiers
Medical identifiers for Liane J Leedom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063702595 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 31647 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Central Connecticut Behavioral Health Llc | 1951692706 | 8 |
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. Liane J Leedom 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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Liane J Leedom, MD
140 Old Dike Rd,
Trumbull, CT 06611-3334
Ph: (203) 615-1633 | Liane J Leedom, MD
140 Old Dike Rd,
Trumbull, CT 06611-3334
Ph: (203) 615-1633 |
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