Dr Corrine Leistikow, MD in Fairbanks, AK

Dr Corrine Leistikow, MD is a medicare enrolled "Family Medicine" physician in Fairbanks, Alaska. She went to University Of Michigan Medical School and graduated in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Tanana Valley Clinic Llc and her current practice location is 1001 Noble St, Fairbanks, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 459-3511.

Dr Corrine Leistikow is licensed to practice in Alaska (license number 2487) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417922774.

Contact Information

	Dr Corrine Leistikow, MD
	1001 Noble St, Fairbanks, AK 99701-4922
	(907) 459-3511
	(907) 459-3588

Map and Direction

Physician's Profile

Full Name	Dr Corrine Leistikow
Gender	Female
Speciality	Family Practice
Experience	38 Years
Location	1001 Noble St, Fairbanks, Alaska
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Corrine Leistikow attended and graduated from University Of Michigan Medical School in 1986

NPI Data:

NPI Number: 1417922774
Provider Enumeration Date: 02/21/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 8921010489
Enrollment ID: I20060627000044

Medical Identifiers

Medical identifiers for Dr Corrine Leistikow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417922774	NPI	-	NPPES
1007182	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207VX0000X	Obstetrics & Gynecology - Obstetrics	2487 (Alaska)	Secondary
207Q00000X	Family Medicine	2487 (Alaska)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fairbanks Memorial Hospital	Fairbanks, AK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tanana Valley Clinic Llc	5698056901	106

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. Dr Corrine Leistikow allows following entities to bill medicare on her behalf.

Entity Name	Tanana Valley Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922559558 PECOS PAC ID: 5698056901 Enrollment ID: O20161228001991

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 Corrine Leistikow 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 Corrine Leistikow, MD 1001 Noble St, Fairbanks, AK 99701-4922 Ph: (907) 459-3500	Dr Corrine Leistikow, MD 1001 Noble St, Fairbanks, AK 99701-4922 Ph: (907) 459-3511

Reviews and Comments

Family Medicine Doctors in Fairbanks, AK

Dr. Mark Andrew Clifford, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 122 1st Ave, Suite 600, Fairbanks, AK 99701 Phone: 907-750-4124 Fax: 808-433-1558
Abigail J Klager, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1717 W Cowles St, Fairbanks, AK 99701 Phone: 907-451-6682
Angela Lucien, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1717 W Cowles St, Fairbanks, AK 99701 Phone: 907-452-8251
Dr. Melinda F Evans, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1606 23rd Ave, Fairbanks, AK 99701 Phone: 907-455-4567 Fax: 907-458-1581
Dr. Natalie Seibert Mayer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1919 Lathrop St Ste 222, Fairbanks, AK 99701 Phone: 907-456-8191 Fax: 907-456-8192
Dr. Peter John Dillon Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3500 Fax: 907-458-2628
Dr. Russell Scott Pierce, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 751 Old Richardson Hwy Ste 200, Fairbanks, AK 99701 Phone: 907-457-9420 Fax: 907-457-1098

Dr Corrine Leistikow, MD - Medicare Family Practice in Fairbanks, AK