Dr Ellen Michelle Leitman, MD, PHD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Boston, Massachusetts. Her current practice location is
55 Fruit St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 650-9796.
Dr Ellen Michelle Leitman is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659831055.
Physician's Profile
Full Name | Dr Ellen Michelle Leitman |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 55 Fruit St, Boston, Massachusetts |
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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: 1659831055
- Provider Enumeration Date: 03/21/2019
- Last Update Date: 04/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981933371
- Enrollment ID: I20190910003316
Medical Identifiers
Medical identifiers for Dr Ellen Michelle Leitman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659831055 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 290392 (Massachusetts) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Ellen Michelle Leitman 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 Ellen Michelle Leitman, MD, PHD 8 Museum Way Apt 1027, Cambridge, MA 02141-1878 Ph: (617) 650-9796 | Dr Ellen Michelle Leitman, MD, PHD 55 Fruit St, Boston, MA 02114-2696 Ph: (617) 650-9796 |
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