Dr Orvin Jacob Leis, DDS is a medicare enrolled "Dentist - General Practice" provider in Elbow Lake, Minnesota. His current practice location is
18 Division St West, Elbow Lake, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 685-4710.
Dr Orvin Jacob Leis is licensed to practice in Minnesota (license number 8946) 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 1417021858.
Healthcare Provider's Profile
Full Name | Dr Orvin Jacob Leis |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 18 Division St West, Elbow Lake, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417021858
- Provider Enumeration Date: 11/18/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4688993967
- Enrollment ID: I20150507002741
Medical Identifiers
Medical identifiers for Dr Orvin Jacob Leis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417021858 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 8946 (Minnesota) | 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. Dr Orvin Jacob Leis 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 Orvin Jacob Leis, DDS 18 Division West, Po Box 1032, Elbow Lake, MN 56531-1032 Ph: (218) 685-4710 | Dr Orvin Jacob Leis, DDS 18 Division St West, Elbow Lake, MN 56531-1032 Ph: (218) 685-4710 |
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