| Andy Leon, CAA | |
|
5165 Mccarty Ln, Lafayette, IN 47905-8764 | |
| (765) 448-8000 | |
| (765) 838-4758 |
| Full Name | Andy Leon |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 3 Years |
| Location | 5165 Mccarty Ln, Lafayette, Indiana |
| 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 |
|---|---|---|---|
| 1528757788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 75000250A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| New Liberty Hospital District | Liberty, MO | Hospital |
| Indiana University Health Arnett Hospital | Lafayette, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Anesthetic Care Inc | 2365425865 | 32 |
| Iu Health Medical Group Llc | 9638617913 | 4320 |
| Entity Name | Professional Anesthetic Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922053461 PECOS PAC ID: 2365425865 Enrollment ID: O20040607001480 |
| Mailing Address | Practice Location Address |
|---|---|
| Andy Leon, CAA 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Andy Leon, CAA 5165 Mccarty Ln, Lafayette, IN 47905-8764 Ph: (765) 448-8000 |
Joshua Gordon, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4758 | |
Emily C Ausloos, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4758 |