Cheryl-ann Leslie-theall, PA is a
Physician Assistant based in North Baldwin, New York. Cheryl-ann Leslie-theall is licensed to practice in New York (license number 0072911) and her current practice location is
953 Cramer Ct, North Baldwin, New York. She can be reached at her office (for appointments etc.) via phone at
(516) 567-3891.
NPI number for Cheryl-ann Leslie-theall is 1508946286 and her current mailing address is 2440 E Tudor Rd, Suite 243, Anchorage, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508946286.
Provider's Profile
| Full Name | Cheryl-ann Leslie-theall |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 953 Cramer Ct, North Baldwin, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508946286
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 05/24/2019
Medical Identifiers
Medical identifiers for Cheryl-ann Leslie-theall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508946286 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA 9103798 (Florida) | Secondary |
| 363A00000X | Physician Assistant | 8612468-1206 (Utah) | Secondary |
| 363A00000X | Physician Assistant | 483 (Alaska) | Secondary |
| 363A00000X | Physician Assistant | 10503 (Texas) | Secondary |
| 363A00000X | Physician Assistant | 301088 (Louisiana) | Secondary |
| 363A00000X | Physician Assistant | 52939 (California) | Secondary |
| 363A00000X | Physician Assistant | 10004650 (Washington) | Secondary |
| 363A00000X | Physician Assistant | 0072911 (New York) | 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. Cheryl-ann Leslie-theall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Cheryl-ann Leslie-theall, PA
2440 E Tudor Rd, Suite 243,
Anchorage, AK 99507-1185
Ph: (907) 360-9914 | Cheryl-ann Leslie-theall, PA
953 Cramer Ct,
North Baldwin, NY 11510-1216
Ph: (516) 567-3891 |
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