| Robert Michael Leonard, PA-C | |
|
600 W Cedar St, Beresford, SD 57004-1125 | |
| (605) 763-3700 | |
| Not Available |
| Full Name | Robert Michael Leonard |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 29 Years |
| Location | 600 W Cedar St, Beresford, South Dakota |
| 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 |
|---|---|---|---|
| 1669424180 | NPI | - | NPPES |
| 0384 | Other | SD | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0384 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Canton-inwood Medical Center - Cah | Canton, SD | Hospital |
| Monument Health Lead-deadwood Hospital | Deadwood, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Health Network | 6800707100 | 357 |
| Entity Name | Sanford Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396764254 PECOS PAC ID: 0244143824 Enrollment ID: O20031110000532 |
| Entity Name | Sanford Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790721280 PECOS PAC ID: 6800707100 Enrollment ID: O20031111000266 |
| Entity Name | Monument Health Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588185268 PECOS PAC ID: 5991616427 Enrollment ID: O20031111000854 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Michael Leonard, PA-C Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | Robert Michael Leonard, PA-C 600 W Cedar St, Beresford, SD 57004-1125 Ph: (605) 763-3700 |
Mr. Andrew Allen Arends, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 600 W Cedar St, Beresford, SD 57004 Phone: 605-763-5002 |