Mr Raymond B Leidich, MD is a medicare enrolled "Urology" physician in Liberal, Kansas. His current practice location is
2134 N Kansas Ave, Liberal, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 624-1500.
Mr Raymond B Leidich is licensed to practice in Kansas (license number 04-30944) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841262938.
Physician's Profile
Full Name | Mr Raymond B Leidich |
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Gender | Male |
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Speciality | Urology |
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Location | 2134 N Kansas Ave, Liberal, Kansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841262938
- Provider Enumeration Date: 02/03/2006
- Last Update Date: 10/13/2016
Medicare PECOS Information:
- PECOS PAC ID: 5991757437
- Enrollment ID: I20050214000285
Medical Identifiers
Medical identifiers for Mr Raymond B Leidich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841262938 | NPI | - | NPPES |
200335440A | Medicaid | KS | |
100024200A | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 04-30944 (Kansas) | 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. Mr Raymond B Leidich 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 |
Mr Raymond B Leidich, MD 2134 N Kansas Ave, Liberal, KS 67901-2012 Ph: (209) 339-9036 | Mr Raymond B Leidich, MD 2134 N Kansas Ave, Liberal, KS 67901-2012 Ph: (620) 624-1500 |
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