| James Raymond Leddy, PA | |
|
855 Montgomery, Fort Worth, TX 76107-2553 | |
| (817) 735-2000 | |
| Not Available |
| Full Name | James Raymond Leddy |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 855 Montgomery, Fort Worth, Texas |
| 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 |
|---|---|---|---|
| 1144534173 | NPI | - | NPPES |
| 280634101 | Medicaid | TX | |
| 844N83 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (Tennessee) | Secondary |
| 363A00000X | Physician Assistant | PA06845 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellmed Medical Group Pa | 4880657386 | 666 |
| Texas Health Physicians Group | 4385535954 | 1364 |
| Medical Clinic Of North Texas, Pllc | 9830084540 | 212 |
| Entity Name | Texas Health Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174573596 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759 |
| Entity Name | Medical Clinic of North Texas, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033167234 PECOS PAC ID: 9830084540 Enrollment ID: O20040430001258 |
| Entity Name | Wellmed Medical Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437156486 PECOS PAC ID: 4880657386 Enrollment ID: O20041105000519 |
| Mailing Address | Practice Location Address |
|---|---|
| James Raymond Leddy, PA Po Box 99335, Fort Worth, TX 76199-0335 Ph: (817) 735-2000 | James Raymond Leddy, PA 855 Montgomery, Fort Worth, TX 76107-2553 Ph: (817) 735-2000 |
Phillip Steven Woessner, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104 Phone: 817-250-4280 Fax: 817-250-4281 |
Shane Kelleher, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-7840 Fax: 682-885-7856 |
Danielle Purcell Lopez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2332 Beverly Hills Dr, Fort Worth, TX 76114 Phone: 817-378-0855 Fax: 817-378-0861 |
Jaimie Ann Story, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6900 Harris Pkwy Ste 310, Fort Worth, TX 76132 Phone: 817-375-5200 |
Benjamin Craig, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-2500 Fax: 682-885-2510 |
Sharyl Workman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-927-1100 |
Mrs. Audrey Raquel Nelson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 Hemphill St, Fort Worth, TX 76104 Phone: 817-332-4060 Fax: 817-332-2304 |