| Emily Marie Leidig, AGPCNP BC-C | |
|
636 S Monte Vista Dr, Glade Spring, VA 24340-2712 | |
| (276) 429-5163 | |
| Not Available |
| Full Name | Emily Marie Leidig |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 636 S Monte Vista Dr, Glade Spring, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841807625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 0024180071 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Care | Abingdon, VA | Home health agency |
| Smyth County Community Hospital | Marion, VA | Hospital |
| Russell County Hospital | Lebanon, VA | Hospital |
| Johnston Memorial Hospital | Abingdon, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Smyth County Community Hospital | 0446168496 | 3 |
| Entity Name | Smyth County Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174529242 PECOS PAC ID: 0446168496 Enrollment ID: O20031229000522 |
| Entity Name | Wellmont Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174808216 PECOS PAC ID: 8123291739 Enrollment ID: O20120627000467 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
Mrs. Blakeley Madison Lewis, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 636 S Monte Vista Dr, Glade Spring, VA 24340 Phone: 276-429-5163 |