Dr Charles Edwin Leonard, MD is a medicare enrolled "Family Medicine" physician in Talbott, Tennessee. His current practice location is
1171 Highway 11 E, Suite 101, Talbott, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 475-2400.
Dr Charles Edwin Leonard is licensed to practice in Tennessee (license number 122284) 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 1114992260.
Physician's Profile
| Full Name | Dr Charles Edwin Leonard |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 1171 Highway 11 E, Talbott, Tennessee |
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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: 1114992260
- Provider Enumeration Date: 02/22/2006
- Last Update Date: 01/19/2010
Medicare PECOS Information:
- PECOS PAC ID: 9830378082
- Enrollment ID: I20110120000672
Medical Identifiers
Medical identifiers for Dr Charles Edwin Leonard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114992260 | NPI | - | NPPES |
| 3185546 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 122284 (Tennessee) | 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 Charles Edwin Leonard 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 Charles Edwin Leonard, MD
1171 Highway 11 E, Suite 101,
Talbott, TN 37877-3137
Ph: (865) 475-2400 | Dr Charles Edwin Leonard, MD
1171 Highway 11 E, Suite 101,
Talbott, TN 37877-3137
Ph: (865) 475-2400 |
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