Dr Leo L Hise Ii, DO is a medicare enrolled "Orthopaedic Surgery" physician in Hibbing, Minnesota. His current practice location is
3605 Mayfair Ave, Hibbing, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 262-3441.
Dr Leo L Hise Ii is licensed to practice in Minnesota (license number 37803) 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 1225018302.
Physician's Profile
| Full Name | Dr Leo L Hise Ii |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 3605 Mayfair Ave, Hibbing, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225018302
- Provider Enumeration Date: 01/17/2006
- Last Update Date: 01/03/2017
Medicare PECOS Information:
- PECOS PAC ID: 2567459068
- Enrollment ID: I20040427001377
Medical Identifiers
Medical identifiers for Dr Leo L Hise Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225018302 | NPI | - | NPPES |
| 71551336 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | A-1685-12 (New Mexico) | Secondary |
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | A-1685-12 (New Mexico) | Secondary |
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | A-1685-12 (New Mexico) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | A-1685-12 (New Mexico) | Secondary |
| 207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | A-1685-12 (New Mexico) | Secondary |
| 207X00000X | Orthopaedic Surgery | 37803 (Minnesota) | Primary |
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | 37803 (Minnesota) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 37803 (Minnesota) | Secondary |
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 37803 (Minnesota) | Secondary |
| 207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | 37803 (Minnesota) | Secondary |
| 207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | 37803 (Minnesota) | Secondary |
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 Leo L Hise Ii allows following entities to bill medicare on his behalf.
| Entity Name | Range Regional Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669569265
PECOS PAC ID: 8022920024
Enrollment ID: O20031110000095 |
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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 Leo L Hise Ii 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 Leo L Hise Ii, DO
3605 Mayfair Ave,
Hibbing, MN 55746-2935
Ph: (218) 262-3441 | Dr Leo L Hise Ii, DO
3605 Mayfair Ave,
Hibbing, MN 55746-2935
Ph: (218) 262-3441 |
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