| Shannon Kathleen Leikert, DO | |
|
4288 3 Mile Rd Nw, Walker, MI 49534-7596 | |
| (616) 458-3677 | |
| (616) 459-6850 |
| Full Name | Shannon Kathleen Leikert |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 4288 3 Mile Rd Nw, Walker, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720511942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 5101023233 (Michigan) | Primary |
| Entity Name | University Pediatricians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811920549 PECOS PAC ID: 9638070568 Enrollment ID: O20040115000125 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Kathleen Leikert, DO 4288 3 Mile Rd Nw, Walker, MI 49534-7596 Ph: (616) 458-3677 | Shannon Kathleen Leikert, DO 4288 3 Mile Rd Nw, Walker, MI 49534-7596 Ph: (616) 458-3677 |
Sandra Staublin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4288 3 Mile Road, Walker, MI 49534 Phone: 616-458-3677 Fax: 616-459-6850 | |
Belinda Chou, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4288 Three Mile Road, Walker, MI 49534 Phone: 616-458-3677 Fax: 616-459-6850 | |
Derrick Holeman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4288 3 Mile Rd Nw, Walker, MI 49534 Phone: 616-458-3677 Fax: 616-459-6850 | |
Dr. Jennifer Marie Perry, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4288 3 Mile Rd Nw, Suite 1, Walker, MI 49534 Phone: 616-458-3677 Fax: 616-459-6850 | |
Jeffrey Hoogstra, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4288 3 Mile Road, Walker, MI 49534 Phone: 616-458-3677 Fax: 616-459-6850 |