| Richard P. Leggett Md Pc | |
|
1914 Braeburn Dr Salem VA 24153-7304 | |
| (540) 776-1018 | |
| (540) 776-6523 |
| Full Name | Richard P. Leggett Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1914 Braeburn Dr, Salem, Virginia |
| Authorized Official Name and Position | Richard Preston Leggett (PRESIDENT) |
| Authorized Official Contact | 5407761018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard P. Leggett Md Pc 1914 Braeburn Dr Salem VA 24153-7304 Ph: (540) 776-1018 | Richard P. Leggett Md Pc 1914 Braeburn Dr Salem VA 24153-7304 Ph: (540) 776-1018 |
| NPI Number | 1770555096 |
|---|---|
| Provider Enumeration Date | 02/02/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2860674991 |
|---|---|
| Medicare Enrollment ID | O20110310001069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770555096 | NPI | - | NPPES |
| 073020 | Other | VA | ANTHEM |
| 007103352 | Medicaid | VA | |
| 023707 | Other | VA | VALUE OPTIONS |
| 236271 | Other | VA | MAMSI INSURANCE |
| Provider Name | Richard Preston Leggett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104968403 PECOS PAC ID: 3779765805 Enrollment ID: I20110310001077 |
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