Craig J Leesman, MD is a medicare enrolled "Pediatrics" physician in Anoka, Minnesota. His current practice location is
601 Jacob Ln, Anoka, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(763) 587-4200.
Craig J Leesman is licensed to practice in Minnesota (license number 40992) 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 1619943909.
Physician's Profile
Full Name | Craig J Leesman |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 601 Jacob Ln, Anoka, 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: 1619943909
- Provider Enumeration Date: 02/27/2006
- Last Update Date: 07/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 7012956923
- Enrollment ID: I20050429000667
Medical Identifiers
Medical identifiers for Craig J Leesman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619943909 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 40992 (Minnesota) | 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. Craig J Leesman allows following entities to bill medicare on his behalf.
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
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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. Craig J Leesman 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 |
Craig J Leesman, MD 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Craig J Leesman, MD 601 Jacob Ln, Anoka, MN 55303-1776 Ph: (763) 587-4200 |
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