| Bennett Leitch, PA | |
|
1900 Centracare Cir Ste 500, Saint Cloud, MN 56303-5000 | |
| (320) 253-2663 | |
| Not Available |
| Full Name | Bennett Leitch |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 1900 Centracare Cir Ste 500, Saint Cloud, Minnesota |
| 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 |
|---|---|---|---|
| 1629519418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 727-16 (North Dakota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centracare- Rice Memorial Hospital | Willmar, MN | Hospital |
| Centracare - Paynesville Hospital | Paynesville, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Clinic Southwest Llc | 8426457946 | 172 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Entity Name | Centracare Clinic Southwest LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174106264 PECOS PAC ID: 8426457946 Enrollment ID: O20210602002802 |
| Mailing Address | Practice Location Address |
|---|---|
| Bennett Leitch, PA 1900 Centracare Cir Ste 500, Saint Cloud, MN 56303-5000 Ph: Not Available | Bennett Leitch, PA 1900 Centracare Cir Ste 500, Saint Cloud, MN 56303-5000 Ph: (320) 253-2663 |
Emily Lou Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Centracare Cir Ste 2650, Saint Cloud, MN 56303 Phone: 320-253-2663 |
Becca Barry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-656-7020 Fax: 320-255-5714 |
Mr. John Thomas Hardman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 251 County Road 120, Saint Cloud, MN 56303 Phone: 320-202-8949 Fax: 320-202-0756 |
Faith Kelly Dammann Schlicht, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-255-2700 |
Claire Emilie Sautner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303 Phone: 320-229-5099 |
Abigail Holmberg, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-240-2829 |
Bradley Reiners, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 |