Brent Leedle, MD | |
606 N 3rd Ave Ste 201, Sandpoint, ID 83864-1689 | |
(208) 263-8597 | |
(208) 265-0667 |
Full Name | Brent Leedle |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 27 Years |
Location | 606 N 3rd Ave Ste 201, Sandpoint, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306830922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 8474 (Montana) | Secondary |
207X00000X | Orthopaedic Surgery | M-10527 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Welcome Home Healthcare Services | Sandpoint, ID | Home health agency |
Bonner General Hospital | Sandpoint, ID | Hospital |
Boundary Community Hospital | Bonners ferry, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bonner General Hospital Inc | 4082690466 | 35 |
Entity Name | Bonner General Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154563963 PECOS PAC ID: 4082690466 Enrollment ID: O20040626000014 |
Mailing Address | Practice Location Address |
---|---|
Brent Leedle, MD 606 N 3rd Ave Ste 201, Sandpoint, ID 83864-1689 Ph: (208) 263-8597 | Brent Leedle, MD 606 N 3rd Ave Ste 201, Sandpoint, ID 83864-1689 Ph: (208) 263-8597 |
Mr. Douglas Alan Cipriano, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 606 N. 3rd Avenue, Suite 201, Sandpoint, ID 83864 Phone: 208-263-8597 Fax: 208-265-0667 | |
Dr. Jonathan Klaucke, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 606 N Third Ave Ste 201, Sandpoint, ID 83864 Phone: 208-263-8597 |