Emily Marie Leidig, AGPCNP BC-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Glade Spring, Virginia. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Smyth County Community Hospital and her current practice location is
636 S Monte Vista Dr, Glade Spring, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 429-5163.
Emily Marie Leidig is licensed to practice in Virginia (license number 0024180071) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841807625.
Provider's Profile
| Full Name | Emily Marie Leidig |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 636 S Monte Vista Dr, Glade Spring, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Emily Marie Leidig graduated from nursing school in 2020
NPI Data:
- NPI Number: 1841807625
- Provider Enumeration Date: 09/25/2020
- Last Update Date: 04/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193137164
- Enrollment ID: I20230412001371
Medical Identifiers
Medical identifiers for Emily Marie Leidig such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841807625 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 0024180071 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Smyth County Community Hospital | 0446168496 | 3 |
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. Emily Marie Leidig allows following entities to bill medicare on her behalf.
| Entity Name | Smyth County Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174529242
PECOS PAC ID: 0446168496
Enrollment ID: O20031229000522 |
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| Entity Name | Wellmont Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174808216
PECOS PAC ID: 8123291739
Enrollment ID: O20120627000467 |
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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. Emily Marie Leidig 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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Emily Marie Leidig, AGPCNP BC-C
1021 W Oakland Ave Ste 310,
Johnson City, TN 37604-2192
Ph: (423) 302-6565 | Emily Marie Leidig, AGPCNP BC-C
636 S Monte Vista Dr,
Glade Spring, VA 24340-2712
Ph: (276) 429-5163 |
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