Dr Efren L Leonida, MD - Medicare Family Medicine in Mt Pleasant, PA

Dr Efren L Leonida, MD is a medicare enrolled "Family Medicine" physician in Mt Pleasant, Pennsylvania. His current practice location is One Braddock Ave, Suite A, Mt Pleasant, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (724) 547-4565.

Dr Efren L Leonida is licensed to practice in Pennsylvania (license number 034778L) 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 1659477057.

Contact Information

Dr Efren L Leonida, MD
One Braddock Ave, Suite A,
Mt Pleasant, PA 15666
(724) 547-4565
(724) 547-5811

Map and Direction




Physician's Profile

Full NameDr Efren L Leonida
GenderMale
SpecialityFamily Medicine
LocationOne Braddock Ave, Mt Pleasant, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659477057
  • Provider Enumeration Date: 09/15/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5991796245
  • Enrollment ID: I20040524001141

Medical Identifiers

Medical identifiers for Dr Efren L Leonida such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659477057NPI-NPPES
0005893540003MedicaidPA
0360813OtherPAUMWA
474504OtherPAAETNA
60472OtherPAUNISON HEALTH PLAN
094320OtherPAHIGHMARK
1004398OtherPAGATEWAY HEALTH PLAN
0094320OtherPAKEYSTONE HEALTH PLAN WEST

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 034778L (Pennsylvania)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. Dr Efren L 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 L 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 L Leonida, MD
One Braddock Ave, Suite A,
Mt Pleasant, PA 15666

Ph: (724) 547-4565
Dr Efren L Leonida, MD
One Braddock Ave, Suite A,
Mt Pleasant, PA 15666

Ph: (724) 547-4565

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    
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.