Dr Lance E Leslie Iii, DMD, MPH in Chicago, IL

Dr Lance E Leslie Iii, DMD, MPH is a medicare enrolled "Dentist - General Practice" provider in Chicago, Illinois. His current practice location is 641 W 63rd St, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 388-1600.

Dr Lance E Leslie Iii is licensed to practice in Illinois (license number 019.033899) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346974581.

Contact Information

	Dr Lance E Leslie Iii, DMD, MPH
	641 W 63rd St, Chicago, IL 60621-2032
	(773) 388-1600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lance E Leslie Iii
Gender	Male
Speciality	Dentist - General Practice
Location	641 W 63rd St, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346974581
Provider Enumeration Date: 07/13/2022
Last Update Date: 10/26/2022

Medicare PECOS Information:

PECOS PAC ID: 0345619573
Enrollment ID: I20221212000473

Medical Identifiers

Medical identifiers for Dr Lance E Leslie Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346974581	NPI	-	NPPES
019033899	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	019033899 (Illinois)	Secondary
1223G0001X	Dentist - General Practice	019.033899 (Illinois)	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. Dr Lance E Leslie Iii allows following entities to bill medicare on his behalf.

Entity Name	Howard Brown Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306048632 PECOS PAC ID: 1052203155 Enrollment ID: O20040325000526

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. Dr Lance E Leslie Iii 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
Dr Lance E Leslie Iii, DMD, MPH 641 W 63rd St, Chicago, IL 60621-2032 Ph: (773) 388-1600	Dr Lance E Leslie Iii, DMD, MPH 641 W 63rd St, Chicago, IL 60621-2032 Ph: (773) 388-1600

Reviews and Comments

Dentist in Chicago, IL

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Dr Lance E Leslie Iii, DMD, MPH - Medicare Dentist in Chicago, IL