Tami R Leslie, AUD is a medicare enrolled "Audiologist" provider in Sun Prairie, Wisconsin. Her current practice location is
10 Tower Dr, Sun Prairie, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 825-3500.
Tami R Leslie is licensed to practice in Wisconsin (license number 474-156) 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 1003087107.
Healthcare Provider's Profile
| Full Name | Tami R Leslie |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 10 Tower Dr, Sun Prairie, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1003087107
- Provider Enumeration Date: 03/17/2008
- Last Update Date: 02/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901976240
- Enrollment ID: I20080529000575
Medical Identifiers
Medical identifiers for Tami R Leslie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003087107 | NPI | - | NPPES |
| 1003087107 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 474-156 (Wisconsin) | Primary |
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. Tami R Leslie allows following entities to bill medicare on her behalf.
| Provider Name | Dean Health Systems Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1053358846
PECOS PAC ID: 7012827983
Enrollment ID: O20031105000584 |
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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. Tami R Leslie 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 |
|---|
Tami R Leslie, AUD
10 Tower Dr,
Sun Prairie, WI 53590-1239
Ph: (608) 825-3500 | Tami R Leslie, AUD
10 Tower Dr,
Sun Prairie, WI 53590-1239
Ph: (608) 825-3500 |
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