Mr Lee A Cleveland, RD CDE is a medicare enrolled "Dietitian, Registered" provider in Menasha, Wisconsin. His current practice location is
1550 Midway Pl, Menasha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 585-4961.
Mr Lee A Cleveland is licensed to practice in Wisconsin (license number 1864) 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 1295722957.
Healthcare Provider's Profile
| Full Name | Mr Lee A Cleveland |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1550 Midway Pl, Menasha, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Lee A Cleveland attended and graduated from in
NPI Data:
- NPI Number: 1295722957
- Provider Enumeration Date: 09/28/2005
- Last Update Date: 04/23/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Lee A Cleveland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295722957 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 1864 (Wisconsin) | 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 Lee A Cleveland 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 |
|---|
Mr Lee A Cleveland, RD CDE
W5008 Golf Course Rd, #604,
Sherwood, WI 54169-9723
Ph: (920) 585-4961 | Mr Lee A Cleveland, RD CDE
1550 Midway Pl,
Menasha, WI 54952-1165
Ph: (920) 585-4961 |
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