Ms Jody J Leisholmn, PA-C is a medicare enrolled "Physician Assistant - Medical" in Metlakatla, Alaska. Her current practice location is
563 Brendible St., Metlakatla, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 886-4741.
Ms Jody J Leisholmn is licensed to practice in Alaska (license number 698) 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 1922196468.
Provider's Profile
| Full Name | Ms Jody J Leisholmn |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant - Medical |
|---|
| Location | 563 Brendible St., Metlakatla, Alaska |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922196468
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0749298040
- Enrollment ID: I20060328000746
Medical Identifiers
Medical identifiers for Ms Jody J Leisholmn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1922196468 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | 698 (Alaska) | Primary |
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. Ms Jody J Leisholmn 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 |
Ms Jody J Leisholmn, PA-C Po Box 675, Metlakatla, AK 99926-0675 Ph: (907) 886-1970 | Ms Jody J Leisholmn, PA-C 563 Brendible St., Metlakatla, AK 99926 Ph: (907) 886-4741 |
Reviews and Comments