Mr Jason Arnie Leistad, LAC is a
Acupuncturist based in Sunriver, Oregon. Mr Jason Arnie Leistad is licensed to practice in Oregon (license number 160583) and his current practice location is
56881 Enterprise Dr, Sunriver, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 593-8535.
NPI number for Mr Jason Arnie Leistad is 1568806396 and his current mailing address is Po Box 3103, Bend, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568806396.
Healthcare Provider's Profile
| Full Name | Mr Jason Arnie Leistad |
|---|
| Gender | Male |
|---|
| Speciality | Acupuncturist |
|---|
| Location | 56881 Enterprise Dr, Sunriver, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568806396
- Provider Enumeration Date: 04/23/2013
- Last Update Date: 09/22/2016
Medical Identifiers
Medical identifiers for Mr Jason Arnie Leistad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568806396 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 160583 (Oregon) | 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. Mr Jason Arnie Leistad is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jason Arnie Leistad, LAC
Po Box 3103,
Bend, OR 97707-0103
Ph: () - | Mr Jason Arnie Leistad, LAC
56881 Enterprise Dr,
Sunriver, OR 97707-2120
Ph: (541) 593-8535 |
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