David J Leicht, PHD in Appleton, WI - Medicare Clinical Psychologist Provider

David J Leicht, PHD is a medicare enrolled "Psychologist" provider in Appleton, Wisconsin. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Bellin Psychiatric Center Inc and his current practice location is 444 N Westhill Blvd, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 750-7000.

David J Leicht is licensed to practice in Wisconsin (license number 1357) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417941071.

Contact Information

	David J Leicht, PHD
	444 N Westhill Blvd, Appleton, WI 54914-5715
	(920) 750-7000
	(920) 364-2451

Map and Direction

Healthcare Provider's Profile

Full Name	David J Leicht
Gender	Male
Speciality	Clinical Psychologist
Experience	36 Years
Location	444 N Westhill Blvd, Appleton, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

David J Leicht graduated from medical school in 1988

NPI Data:

NPI Number: 1417941071
Provider Enumeration Date: 09/09/2005
Last Update Date: 11/29/2017

Medicare PECOS Information:

PECOS PAC ID: 2860522612
Enrollment ID: I20100604000987

Medical Identifiers

Medical identifiers for David J Leicht such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417941071	NPI	-	NPPES
39078500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1357 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bellin Psychiatric Center Inc	4486551058	60

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. David J Leicht allows following entities to bill medicare on his behalf.

Entity Name	Bellin Psychiatric Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952554800 PECOS PAC ID: 4486551058 Enrollment ID: O20031212000884

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. David J Leicht 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
David J Leicht, PHD 444 N Westhill Blvd, Appleton, WI 54914-5715 Ph: (920) 750-7000	David J Leicht, PHD 444 N Westhill Blvd, Appleton, WI 54914-5715 Ph: (920) 750-7000

Reviews and Comments

Psychologist in Appleton, WI

Dr. Mindee Juve, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10 Tri Park Way, Appleton, WI 54914 Phone: 920-831-0070
Ms. Sharon L Gray, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 477 S Nicolet Rd, Appleton, WI 54914 Phone: 920-882-6610 Fax: 920-882-6611
Kathleen Anne Clarke, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-738-2681
Dr. Brandon B Hayes, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4351 W College Ave Ste 410, Appleton, WI 54914 Phone: 800-438-1772 Fax: 262-345-5562
Dr. Michael Marcy, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Va Outpatient Clinic, Appleton, WI 54914 Phone: 920-831-7900
Kristjana K Rahn, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1309 S Oneida St, Appleton, WI 54915 Phone: 920-903-8841
Martin J Haanstad, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1531 S Madison St, Appleton, WI 54915 Phone: 920-730-4411

David J Leicht, PHD - Medicare Psychologist in Appleton, WI