Cheryl-ann Leslie-theall, PA is a medicare enrolled "Physician Assistant" in North Baldwin, New York. Her current practice location is
953 Cramer Ct, North Baldwin, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 567-3891.
Cheryl-ann Leslie-theall is licensed to practice in New York (license number 0072911) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508946286.
Provider's Profile
| Full Name | Cheryl-ann Leslie-theall |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 953 Cramer Ct, North Baldwin, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508946286
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 05/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 3678621893
- Enrollment ID: I20181017000194
Medical Identifiers
Medical identifiers for Cheryl-ann Leslie-theall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508946286 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA 9103798 (Florida) | Secondary |
| 363A00000X | Physician Assistant | 8612468-1206 (Utah) | Secondary |
| 363A00000X | Physician Assistant | 483 (Alaska) | Secondary |
| 363A00000X | Physician Assistant | 10503 (Texas) | Secondary |
| 363A00000X | Physician Assistant | 301088 (Louisiana) | Secondary |
| 363A00000X | Physician Assistant | 52939 (California) | Secondary |
| 363A00000X | Physician Assistant | 10004650 (Washington) | Secondary |
| 363A00000X | Physician Assistant | 0072911 (New York) | Primary |
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. Cheryl-ann Leslie-theall allows following entities to bill medicare on her behalf.
| Entity Name | Essen Medical Associates, PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366418709
PECOS PAC ID: 1759353501
Enrollment ID: O20040811000885 |
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| Entity Name | Essen Medical Urgicare, PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841607298
PECOS PAC ID: 4385960897
Enrollment ID: O20150227000903 |
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| Entity Name | Bronx Medical Practice PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356726087
PECOS PAC ID: 9739496100
Enrollment ID: O20150917000004 |
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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. Cheryl-ann Leslie-theall 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 |
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Cheryl-ann Leslie-theall, PA
2440 E Tudor Rd, Suite 243,
Anchorage, AK 99507-1185
Ph: (907) 360-9914 | Cheryl-ann Leslie-theall, PA
953 Cramer Ct,
North Baldwin, NY 11510-1216
Ph: (516) 567-3891 |
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