| Robert Grierson Leckie, MD | |
|
118 E Haskell St, Winnemucca, NV 89445-3247 | |
| (775) 623-5222 | |
| Not Available |
| Full Name | Robert Grierson Leckie |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 38 Years |
| Location | 118 E Haskell St, Winnemucca, Nevada |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861490559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 7705 (Nevada) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | G86763 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Lassen Medical Center | Susanville, CA | Hospital |
| Northern Nevada Medical Center | Sparks, NV | Hospital |
| William Bee Ririe Hospital | Ely, NV | Hospital |
| Renown Regional Medical Center | Reno, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Health | 9537078365 | 20 |
| Sparks Radiology Group Ltd. | 8820077894 | 6 |
| Banner Health | 9537078365 | 20 |
| Entity Name | Banner Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205267549 PECOS PAC ID: 9537078365 Enrollment ID: O20140604002057 |
| Entity Name | Northstar Radiology - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750788865 PECOS PAC ID: 5395062806 Enrollment ID: O20150321000344 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Grierson Leckie, MD Po Box 32936, Knoxville, TN 37930-2936 Ph: (800) 489-8531 | Robert Grierson Leckie, MD 118 E Haskell St, Winnemucca, NV 89445-3247 Ph: (775) 623-5222 |
Leon S Jackson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 118 E Haskell St, Winnemucca, NV 89445 Phone: 608-788-8103 Fax: 608-788-8799 |