| Ryan Gaston Leckner, | |
|
22655 Indianwood Dr, South Lyon, MI 48178-9420 | |
| (248) 880-0878 | |
| Not Available |
| Full Name | Ryan Gaston Leckner |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 22655 Indianwood Dr, South Lyon, Michigan |
| 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 |
|---|---|---|---|
| 1154157907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pain Specialists Of Charleston | 6002971165 | 17 |
| Entity Name | Pain Specialists of Charleston |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760636856 PECOS PAC ID: 6002971165 Enrollment ID: O20090224000652 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Gaston Leckner, 22655 Indianwood Dr, South Lyon, MI 48178-9420 Ph: Not Available | Ryan Gaston Leckner, 22655 Indianwood Dr, South Lyon, MI 48178-9420 Ph: (248) 880-0878 |
Randall Stein, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 210 N. Lafayette, South Lyon, MI 48178 Phone: 248-437-1744 Fax: 248-446-2420 |
Kathryn Ansley Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12427 Janes Lndg, South Lyon, MI 48178 Phone: 248-935-1115 |
Hiba Shakir, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 24279 Bay Laurel Ln, South Lyon, MI 48178 Phone: 802-598-8891 |
Jenna Marie Carter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22024 Pontiac Trl, South Lyon, MI 48178 Phone: 248-437-2525 |
Vincent Robert Gasparotto, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22990 Pontiac Trl, South Lyon, MI 48178 Phone: 248-667-9202 |
Morgan A Covington, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 26006 Pontiac Trl, South Lyon, MI 48178 Phone: 248-437-5613 Fax: 248-437-5694 |
Madison Marie Masters, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 106 S Lafayette St, South Lyon, MI 48178 Phone: 947-348-1176 |