Ms Jody J Leisholmn, PA-C is a medicare enrolled "Physician Assistant - Medical" in Metlakatla, Alaska. Her current practice location is
563 Brendible St., Metlakatla, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 886-4741.
Ms Jody J Leisholmn is licensed to practice in Alaska (license number 698) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922196468.
Provider's Profile
Full Name | Ms Jody J Leisholmn |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 563 Brendible St., Metlakatla, Alaska |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Jody J Leisholmn attended and graduated from in
NPI Data:
- NPI Number: 1922196468
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Jody J Leisholmn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922196468 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 698 (Alaska) | 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. Ms Jody J Leisholmn 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 |
Ms Jody J Leisholmn, PA-C Po Box 675, Metlakatla, AK 99926-0675 Ph: (907) 886-1970 | Ms Jody J Leisholmn, PA-C 563 Brendible St., Metlakatla, AK 99926 Ph: (907) 886-4741 |
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