Shannon Kathleen Leikert, DO | |
4288 3 Mile Rd Nw, Walker, MI 49534-7596 | |
(616) 458-3677 | |
(616) 459-6850 |
Full Name | Shannon Kathleen Leikert |
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Gender | Female |
Speciality | Pediatrics |
Location | 4288 3 Mile Rd Nw, Walker, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720511942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 5101023233 (Michigan) | Primary |
Entity Name | University Pediatricians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811920549 PECOS PAC ID: 9638070568 Enrollment ID: O20040115000125 |
Mailing Address | Practice Location Address |
---|---|
Shannon Kathleen Leikert, DO 4288 3 Mile Rd Nw, Walker, MI 49534-7596 Ph: (616) 458-3677 | Shannon Kathleen Leikert, DO 4288 3 Mile Rd Nw, Walker, MI 49534-7596 Ph: (616) 458-3677 |
Sandra Staublin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4288 3 Mile Road, Walker, MI 49534 Phone: 616-458-3677 Fax: 616-459-6850 | |
Belinda Chou, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4288 Three Mile Road, Walker, MI 49534 Phone: 616-458-3677 Fax: 616-459-6850 | |
Derrick Holeman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4288 3 Mile Rd Nw, Walker, MI 49534 Phone: 616-458-3677 Fax: 616-459-6850 | |
Dr. Jennifer Marie Perry, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4288 3 Mile Rd Nw, Suite 1, Walker, MI 49534 Phone: 616-458-3677 Fax: 616-459-6850 | |
Jeffrey Hoogstra, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4288 3 Mile Road, Walker, MI 49534 Phone: 616-458-3677 Fax: 616-459-6850 |