Adam Henry Leeds-peralta, CRNA in Phoenix, AZ - Medicare Certified Registered Nurse Anesthetist (crna)

Adam Henry Leeds-peralta, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Phoenix, Arizona. He went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 2004 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Banner - University Hospital Based Physicians Llc, Southwest Medical Center and his current practice location is 4212 N 16th St, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 263-1511.

Adam Henry Leeds-peralta is licensed to practice in Arizona (license number RN094667) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1972603751.

Contact Information

	Adam Henry Leeds-peralta, CRNA
	4212 N 16th St, Phoenix, AZ 85016-5319
	(602) 263-1511
	(602) 263-1637

Map and Direction

Provider's Profile

Full Name	Adam Henry Leeds-peralta
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	21 Years
Location	4212 N 16th St, Phoenix, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Adam Henry Leeds-peralta attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 2004

NPI Data:

NPI Number: 1972603751
Provider Enumeration Date: 09/22/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 8022062066
Enrollment ID: I20191209002441

Medical Identifiers

Medical identifiers for Adam Henry Leeds-peralta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972603751	NPI	-	NPPES
AZ0147880	Other	AZ	BCBS
914623	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN094667 (Arizona)	Primary
367500000X	Nurse Anesthetist, Certified Registered	054009-21 (New Hampshire)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southwest Medical Center	Liberal, KS	Hospital
Banner - University Medical Center Phoenix	Phoenix, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Banner - University Hospital Based Physicians Llc	1052614294	287
Southwest Medical Center	7517941651	35

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. Adam Henry Leeds-peralta allows following entities to bill medicare on his behalf.

Entity Name	Phoenix Neurological Institute, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336319086 PECOS PAC ID: 9931287711 Enrollment ID: O20080418000363

Entity Name	Amsurg North Valley Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629351788 PECOS PAC ID: 7416121447 Enrollment ID: O20111130000888

Entity Name	Banner - University Hospital Based Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508

Entity Name	Hospitalist Medicine Physicians Of Arizona - Nogales
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487251799 PECOS PAC ID: 9335554625 Enrollment ID: O20210218002429

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. Adam Henry Leeds-peralta 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
Adam Henry Leeds-peralta, CRNA Po Box 31001-0698, Pasadena, CA 91110-0698 Ph: (602) 263-1511	Adam Henry Leeds-peralta, CRNA 4212 N 16th St, Phoenix, AZ 85016-5319 Ph: (602) 263-1511

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Phoenix, AZ

Jenny Mcdonald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1200
Rufus Lee Casey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1637
Maria M Valentin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1200
Michelle Minta, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4441 E Mcdowell Rd, Ste 101, Phoenix, AZ 85008 Phone: 602-273-6770 Fax: 602-889-0489
Jeanmarie Altieri, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8890
Richard Warren Busby, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 Fax: 480-301-4988
Mr. Daniel Patrick Harmeyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5039

Adam Henry Leeds-peralta, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Phoenix, AZ