Dr Fayne Maxine Leventhal, MD is a
Psychiatry & Neurology - Psychiatry physician based in Fort Bragg, California. Dr Fayne Maxine Leventhal is licensed to practice in California (license number G50431) and her current practice location is 205 South St, Fort Bragg, California. She can be reached at her office (for appointments etc.) via phone at
(707) 964-1251.
NPI number for Dr Fayne Maxine Leventhal is 1619091139 and her current mailing address is 205 South St, Fort Bragg, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619091139.
Physician's Profile
Full Name | Dr Fayne Maxine Leventhal |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 205 South St, Fort Bragg, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619091139
- Provider Enumeration Date: 03/19/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Fayne Maxine Leventhal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619091139 | NPI | - | NPPES |
FHC03967F | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | G50431 (California) | 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 Fayne Maxine Leventhal is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Fayne Maxine Leventhal, MD 205 South St, Fort Bragg, CA 95437-5540 Ph: (707) 964-1251 | Dr Fayne Maxine Leventhal, MD 205 South St, Fort Bragg, CA 95437-5540 Ph: (707) 964-1251 |
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