Bryant Vanleeuwen, MD is a medicare enrolled "Urology" physician in Pocatello, Idaho. His current practice location is
777 Hospital Way Ste 215, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 239-2770.
Bryant Vanleeuwen is licensed to practice in Idaho (license number M-17410) 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 1891280442.
Physician's Profile
| Full Name | Bryant Vanleeuwen |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 777 Hospital Way Ste 215, Pocatello, Idaho |
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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: 1891280442
- Provider Enumeration Date: 06/26/2018
- Last Update Date: 08/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 9739533837
- Enrollment ID: I20230922002386
Medical Identifiers
Medical identifiers for Bryant Vanleeuwen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891280442 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 8354 (Nebraska) | Secondary |
| 208800000X | Urology | M-17410 (Idaho) | 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. Bryant Vanleeuwen allows following entities to bill medicare on his behalf.
| Entity Name | Pocatello Health Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689802852
PECOS PAC ID: 6608927637
Enrollment ID: O20090701000646 |
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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. Bryant Vanleeuwen 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 |
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Bryant Vanleeuwen, MD
777 Hospital Way Ste 215,
Pocatello, ID 83201-5175
Ph: (208) 239-2770 | Bryant Vanleeuwen, MD
777 Hospital Way Ste 215,
Pocatello, ID 83201-5175
Ph: (208) 239-2770 |
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