Dr Efren B Leonida, MD - Medicare Family Practice in Mt Pleasant, PA

Dr Efren B Leonida, MD is a medicare enrolled "Family Medicine" physician in Mt Pleasant, Pennsylvania. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Efren Leonida Md Llc and his current practice location is One Braddock Road Ave, Suite A, Mt Pleasant, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (724) 547-4566.

Dr Efren B Leonida is licensed to practice in Pennsylvania (license number MD420007) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891892188.

Contact Information

Dr Efren B Leonida, MD
One Braddock Road Ave, Suite A,
Mt Pleasant, PA 15666
(724) 547-4566
(724) 547-5811

Map and Direction




Physician's Profile

Full NameDr Efren B Leonida
GenderMale
SpecialityFamily Practice
Experience24 Years
LocationOne Braddock Road Ave, Mt Pleasant, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Efren B Leonida graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1891892188
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3870559982
  • Enrollment ID: I20041209000377

Medical Identifiers

Medical identifiers for Dr Efren B Leonida such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891892188NPI-NPPES
1010347300001MedicaidPA
LE1639333OtherPAHIGHMARK BLUE SHIELD
001639333OtherPAKEYSTONE HEALTH PLAN WEST

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD420007 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Excela Health Home Care & HospiceGreensburg, PAHome health agency
Excela Health - Frick HospitalMount pleasant, PAHospital
Excela Health Westmoreland Regional HospitalGreensburg, PAHospital
Excela Health Latrobe HospitalLatrobe, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Efren Leonida Md Llc11535825232

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 Efren B Leonida allows following entities to bill medicare on his behalf.
Entity NameEfren Leonida Md Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730453440
PECOS PAC ID: 1153582523
Enrollment ID: O20120411000388

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 Efren B Leonida 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 AddressPractice Location Address
Dr Efren B Leonida, MD
One Braddock Road Ave, Suite A,
Mt Pleasant, PA 15666

Ph: (724) 547-4566
Dr Efren B Leonida, MD
One Braddock Road Ave, Suite A,
Mt Pleasant, PA 15666

Ph: (724) 547-4566

Reviews and Comments


Family Medicine Doctors in Mt Pleasant, PA

Manjusha Kad, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 525 W Main St, Mt Pleasant, PA 15666
Phone: 724-547-4536    Fax: 724-547-3799
Emilio R Navarro, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 599 N Church St, Lower Level, Mt Pleasant, PA 15666
Phone: 724-542-8100    
Dr. Efren L Leonida, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: One Braddock Ave, Suite A, Mt Pleasant, PA 15666
Phone: 724-547-4565    Fax: 724-547-5811
Molly Castille, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 508 S Church St Ste 100, Mt Pleasant, PA 15666
Phone: 724-547-4536    Fax: 724-547-3799
Rachel Fasson Esposito, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 599 N Church St, Suite 200, Mt Pleasant, PA 15666
Phone: 724-542-5349    Fax: 724-542-4658
Dr. William Mark Weisel, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 525 W Main St, Mt Pleasant, PA 15666
Phone: 724-547-4536    Fax: 724-547-3799
Andrew Schleihauf,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 508 S Church St Ste 200, Mt Pleasant, PA 15666
Phone: 724-547-1208    Fax: 724-547-1207

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.