Mr Adam Leestma, FNP in Demotte, IN - Medicare Nurse Practitioner

Mr Adam Leestma, FNP is a medicare enrolled "Nurse Practitioner - Family" in Demotte, Indiana. His current practice location is 519 N Halleck St, Demotte, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 987-7750.

Mr Adam Leestma is licensed to practice in Indiana (license number 28199079A) 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 1891230140.

Contact Information

	Mr Adam Leestma, FNP
	519 N Halleck St, Demotte, IN 46310-9553
	(219) 987-7750
	(219) 987-5750

Map and Direction

Provider's Profile

Full Name	Mr Adam Leestma
Gender	Male
Speciality	Nurse Practitioner - Family
Location	519 N Halleck St, Demotte, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891230140
Provider Enumeration Date: 12/22/2016
Last Update Date: 12/22/2016

Medicare PECOS Information:

PECOS PAC ID: 0840575213
Enrollment ID: I20170327001651

Medical Identifiers

Medical identifiers for Mr Adam Leestma such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891230140	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	28199079A (Indiana)	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. Mr Adam Leestma allows following entities to bill medicare on his behalf.

Entity Name	Leestma Medical Clinic, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487986451 PECOS PAC ID: 1850290263 Enrollment ID: O20040105000827

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 Adam Leestma 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 Adam Leestma, FNP 519 N Halleck St, Demotte, IN 46310-9553 Ph: (219) 987-7750	Mr Adam Leestma, FNP 519 N Halleck St, Demotte, IN 46310-9553 Ph: (219) 987-7750

Reviews and Comments

Nurse Practitioner Nurses in Demotte, IN

Samantha Merritt, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 3rd Ct Se, Demotte, IN 46310 Phone: 219-763-8112
Mrs. Desiree Elizabeth Samples, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1317 15th St Se, Demotte, IN 46310 Phone: 219-270-3358 Fax: 814-292-9196
Mallory Nichole Matusik, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 519 N Halleck St, Demotte, IN 46310 Phone: 219-987-7750
Helen Anderson, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 8th Ave Ne, Demotte, IN 46310 Phone: 219-987-3581
Miranda Louise Faris, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11188 N 550 E, Demotte, IN 46310 Phone: 219-964-5312
Mrs. Frances Clark, APRN MSN FNP CS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11920 W State Rd 10, Demotte, IN 46310 Phone: 219-345-5151 Fax: 219-345-5252
Frances Jean Smith, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 519 N Halleck, Demotte, IN 46310 Phone: 219-987-7750 Fax: 219-987-5750

Mr Adam Leestma, FNP - Medicare Nurse Practitioner in Demotte, IN