Dr Meredith Alexia Lease, MD | |
3075 N Reserve St Ste Q, Missoula, MT 59808-1390 | |
(406) 327-1850 | |
(406) 327-1875 |
Full Name | Dr Meredith Alexia Lease |
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Gender | Female |
Speciality | Pediatrics |
Location | 3075 N Reserve St Ste Q, Missoula, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487727889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 56047 (Wisconsin) | Secondary |
208000000X | Pediatrics | MED-PHYS-LIC-28192 (Montana) | Primary |
Entity Name | Providence Health & Services Mt |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144319138 PECOS PAC ID: 6608786306 Enrollment ID: O20031229000787 |
Mailing Address | Practice Location Address |
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Dr Meredith Alexia Lease, MD Po Box 12, Liberty Lake, WA 99019-0012 Ph: (406) 327-1850 | Dr Meredith Alexia Lease, MD 3075 N Reserve St Ste Q, Missoula, MT 59808-1390 Ph: (406) 327-1850 |
Dr. William Charles Hastings, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2825 Fort Missoula Rd Ste 201, Missoula, MT 59804 Phone: 406-721-5566 | |
Jennifer Reck, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2835 Fort Missoula Rd # 3, Missoula, MT 59804 Phone: 406-721-5600 | |
Laurie Liang Carter, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2827 Fort Missoula Rd, Missoula, MT 59804 Phone: 406-327-4045 | |
Dr. Andrea M. Vannatta, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-721-5600 Fax: 406-721-3907 | |
Sandra Simmons, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2835 Fort Missoula Rd, Missoula Valley Pediatrics Ste 205, Missoula, MT 59804 Phone: 406-542-0391 | |
Kathleen S Rogers, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2835 Fort Missoula Road, Missoula, MT 59804 Phone: 406-721-5600 Fax: 406-721-3907 | |
Jennifer K Hall, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2835 Fort Missoula Rd Bldg 3, Missoula, MT 59804 Phone: 406-721-5600 Fax: 406-329-7122 |