Dr Staci Alison Leisman, MD - Medicare Nephrology in New York, NY

Dr Staci Alison Leisman, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in New York, New York. She went to Washington University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Icahn School Of Medicine At Mount Sinai and her current practice location is 1 Gustave L Levy Pl, Box 1243, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 241-8004.

Dr Staci Alison Leisman is licensed to practice in New York (license number 233089) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316104631.

Contact Information

Dr Staci Alison Leisman, MD
1 Gustave L Levy Pl, Box 1243,
New York, NY 10029-6500
(212) 241-8004
Not Available

Map and Direction




Physician's Profile

Full NameDr Staci Alison Leisman
GenderFemale
SpecialityNephrology
Experience21 Years
Location1 Gustave L Levy Pl, New York, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Staci Alison Leisman attended and graduated from Washington University School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1316104631
  • Provider Enumeration Date: 05/22/2008
  • Last Update Date: 05/22/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 4284784711
  • Enrollment ID: I20090604000130

Medical Identifiers

Medical identifiers for Dr Staci Alison Leisman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316104631NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 233089 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ridgewood Dialysis Center, Inc.New york, NYDialysis facility
Mount Sinai HospitalNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Icahn School Of Medicine At Mount Sinai22646910702323

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 Staci Alison Leisman allows following entities to bill medicare on her behalf.
Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144581182
PECOS PAC ID: 2264691070
Enrollment ID: O20121128000010

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 Staci Alison Leisman 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 Staci Alison Leisman, MD
1 Gustave L Levy Pl, Box 1243,
New York, NY 10029-6500

Ph: (212) 241-8004
Dr Staci Alison Leisman, MD
1 Gustave L Levy Pl, Box 1243,
New York, NY 10029-6500

Ph: (212) 241-8004

Reviews and Comments


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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.