Leisha Anne Bevoni, PA-C is a medicare enrolled "Physician Assistant" physician in Dallas, Texas. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice University Of Texas Southwestern Medical Center and her current practice location is
8611 Hillcrest Ave Ste 300, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 692-3100.
Leisha Anne Bevoni is licensed to practice in Texas (license number PA03861) 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 1508956210.
Physician's Profile
| Full Name | Leisha Anne Bevoni |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 23 Years |
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| Location | 8611 Hillcrest Ave Ste 300, Dallas, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Leisha Anne Bevoni graduated from medical school in 2001
NPI Data:
- NPI Number: 1508956210
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 08/28/2019
Medicare PECOS Information:
- PECOS PAC ID: 5092793547
- Enrollment ID: I20140612000335
Medical Identifiers
Medical identifiers for Leisha Anne Bevoni such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508956210 | NPI | - | NPPES |
| 04257 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | PA2002-0001 (New Mexico) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | PA20020001 (New Mexico) | Secondary |
| 363A00000X | Physician Assistant | PA03861 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| University Of Texas Southwestern Medical Center | 0648188250 | 2569 |
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. Leisha Anne Bevoni 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 |
|---|
Leisha Anne Bevoni, PA-C
Po Box 845347,
Dallas, TX 75284-7208
Ph: (469) 291-3372 | Leisha Anne Bevoni, PA-C
8611 Hillcrest Ave Ste 300,
Dallas, TX 75225-4232
Ph: (214) 692-3100 |
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