| Charles Di Leonardo, MSPAS, PA-C | |
|
3325 Research Way, Carson City, NV 89706-7913 | |
| (775) 887-5140 | |
| (775) 884-3618 |
| Full Name | Charles Di Leonardo |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 3325 Research Way, Carson City, Nevada |
| 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 |
|---|---|---|---|
| 1356095871 | NPI | - | NPPES |
| 250017702 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-3033 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Choctaw Nation Health Services Authority | Talihina, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kima-w Medical Center | 5496740698 | 21 |
| Choctaw Nation Of Oklahoma | 1759294838 | 271 |
| Entity Name | Kima-w Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306904222 PECOS PAC ID: 5496740698 Enrollment ID: O20040416001480 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Di Leonardo, MSPAS, PA-C 3325 Research Way, Carson City, NV 89706-7913 Ph: Not Available | Charles Di Leonardo, MSPAS, PA-C 3325 Research Way, Carson City, NV 89706-7913 Ph: (775) 887-5140 |
Jeromy Dyer, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 973 Mica Drive, Suite 201, Carson City, NV 89705 Phone: 775-783-6190 Fax: 775-783-6191 |
Tatiana M. Warner, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3325 Research Way, Carson City, NV 89706 Phone: 775-887-5140 Fax: 775-884-3618 |
Ryan Tognotti, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 973 Mica Dr. Suite 201, Carson City, NV 89705 Phone: 775-783-6109 Fax: 775-783-6178 |
Robin Therese Reaney-smith, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3325 Research Way, Carson City, NV 89706 Phone: 775-887-5140 Fax: 775-884-3618 |
Mr. James H Nicely, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1001 Mountain St, Suite 3 M, Carson City, NV 89703 Phone: 775-885-8890 Fax: 775-885-8865 |
Ashten Howard, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 973 Mica Drive, Suite 201, Carson City, NV 89705 Phone: 775-783-6190 Fax: 775-783-6191 |
Jenna Dramise, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1525 Vista Ln Ste 100, Carson City, NV 89703 Phone: 775-445-6622 |