Leah Marie Vidal, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Pinehurst, North Carolina. Her current practice location is
5 First Village Dr, Pinehurst, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 295-6831.
Leah Marie Vidal is licensed to practice in North Carolina (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124865209.
Physician's Profile
Full Name | Leah Marie Vidal |
---|
Gender | Female |
---|
Speciality | Physician Assistant - Medical |
---|
Location | 5 First Village Dr, Pinehurst, North Carolina |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124865209
- Provider Enumeration Date: 07/15/2024
- Last Update Date: 08/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971043209
- Enrollment ID: I20240912002634
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
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 |
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 |
Reviews and Comments