Leah Marie Vidal, PA-C is a
Physician Assistant - Medical physician based in Pinehurst, North Carolina. Leah Marie Vidal is licensed to practice in North Carolina (license number ) and her current practice location is 5 First Village Dr, Pinehurst, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 295-6831.
NPI number for Leah Marie Vidal is 1124865209 and her current mailing address is 5 First Village Dr, Pinehurst, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124865209.
Physician's Profile
Full Name | Leah Marie Vidal |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 5 First Village Dr, Pinehurst, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124865209
- Provider Enumeration Date: 07/15/2024
- Last Update Date: 08/22/2024
Medical Identifiers
Medical identifiers for Leah Marie Vidal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124865209 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207VG0400X | Obstetrics & Gynecology - Gynecology | 0010-14407 (North Carolina) | Secondary |
363AM0700X | Physician Assistant - Medical | (North Carolina) | 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. Leah Marie Vidal 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 |
Leah Marie Vidal, PA-C 5 First Village Dr, Pinehurst, NC 28374-9495 Ph: (321) 591-9367 | Leah Marie Vidal, PA-C 5 First Village Dr, Pinehurst, NC 28374-9495 Ph: (910) 295-6831 |
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