Mr Leonid Ronquillo Nemenzo, PA-C in Terre Haute, IN

Mr Leonid Ronquillo Nemenzo, PA-C is a medicare enrolled "Physician Assistant" in Terre Haute, Indiana. His current practice location is 1725 N 5th St, Terre Haute, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 242-3005.

Mr Leonid Ronquillo Nemenzo is licensed to practice in Indiana (license number 10004116A) 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 1477329100.

Contact Information

	Mr Leonid Ronquillo Nemenzo, PA-C
	1725 N 5th St, Terre Haute, IN 47804-4010
	(812) 242-3005
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Leonid Ronquillo Nemenzo
Gender	Male
Speciality	Physician Assistant
Location	1725 N 5th St, Terre Haute, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477329100
Provider Enumeration Date: 12/04/2023
Last Update Date: 12/14/2023

Medicare PECOS Information:

PECOS PAC ID: 1850742156
Enrollment ID: I20240111001488

Medical Identifiers

Medical identifiers for Mr Leonid Ronquillo Nemenzo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477329100	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	10004116A (Indiana)	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 Leonid Ronquillo Nemenzo 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 Leonid Ronquillo Nemenzo, PA-C 1725 N 5th St, Terre Haute, IN 47804-4010 Ph: (812) 242-3005	Mr Leonid Ronquillo Nemenzo, PA-C 1725 N 5th St, Terre Haute, IN 47804-4010 Ph: (812) 242-3005

Reviews and Comments

Physician Assistant Nurses in Terre Haute, IN

Briseida Oceguera Perez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3560 S 4th St, Terre Haute, IN 47802 Phone: 812-235-8496 Fax: 812-478-1540
Miss Jennifer Lynne Brooks, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 1801 N 6th St Ste 600, Terre Haute, IN 47804 Phone: 812-235-4867 Fax: 812-232-8059
Ashley Stakeman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2723 S 7th St Ste A, Terre Haute, IN 47802 Phone: 812-232-8164 Fax: 812-234-6391
Donald Gregg Dowdy, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1436 Locust St, Terre Haute, IN 47807 Phone: 812-232-7447
Kenneth R Massey, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2723 S 7th Street, Suite A, Terre Haute, IN 47802 Phone: 812-232-8164 Fax: 812-234-6391
Mrs. Rebecca Lynn Skiver, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 501 E Hospital Ln, Suite 101, Terre Haute, IN 47802 Phone: 812-234-0707 Fax: 812-234-3352
Alison Follett, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Sycamore St Apt 233, Terre Haute, IN 47807 Phone: 720-234-5871

Mr Leonid Ronquillo Nemenzo, PA-C - Medicare Physician Assistant in Terre Haute, IN