Charles J Leistner Iii, APRN in Lawrence, KS - Medicare Nurse Practitioner

Charles J Leistner Iii, APRN is a medicare enrolled "Nurse Practitioner - Family" in Lawrence, Kansas. His current practice location is 776 E 1485 Rd, Lawrence, Kansas. You can reach out to his office (for appointments etc.) via phone at (785) 917-1866.

Charles J Leistner Iii is licensed to practice in Kansas (license number 53-79245-121) 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 1669002978.

Contact Information

	Charles J Leistner Iii, APRN
	776 E 1485 Rd, Lawrence, KS 66046-9265
	(785) 917-1866
	Not Available

Map and Direction

Provider's Profile

Full Name	Charles J Leistner Iii
Gender	Male
Speciality	Nurse Practitioner - Family
Location	776 E 1485 Rd, Lawrence, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669002978
Provider Enumeration Date: 01/26/2020
Last Update Date: 01/26/2020

Medicare PECOS Information:

PECOS PAC ID: 0547697500
Enrollment ID: I20200304000329

Medical Identifiers

Medical identifiers for Charles J Leistner Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669002978	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	53-79245-121 (Kansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles J Leistner Iii allows following entities to bill medicare on his behalf.

Entity Name	Topeka Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770008849 PECOS PAC ID: 6406112473 Enrollment ID: O20171107002163

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. Charles J Leistner Iii 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
Charles J Leistner Iii, APRN 776 E 1485 Rd, Lawrence, KS 66046-9265 Ph: (785) 917-1866	Charles J Leistner Iii, APRN 776 E 1485 Rd, Lawrence, KS 66046-9265 Ph: (785) 917-1866

Reviews and Comments

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Charles J Leistner Iii, APRN - Medicare Nurse Practitioner in Lawrence, KS