Peter Leafblad, PA is a medicare enrolled "Orthopaedic Surgery" in Minneapolis, Minnesota. His current practice location is
715 S 8th St, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(612) 873-6963.
Peter Leafblad is licensed to practice in Minnesota (license number 11818) 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 1235527136.
Provider's Profile
Full Name | Peter Leafblad |
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Gender | Male |
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Speciality | Orthopaedic Surgery |
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Location | 715 S 8th St, Minneapolis, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235527136
- Provider Enumeration Date: 12/30/2014
- Last Update Date: 10/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 4880915743
- Enrollment ID: I20150603001801
Medical Identifiers
Medical identifiers for Peter Leafblad such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235527136 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Secondary |
207X00000X | Orthopaedic Surgery | 11818 (Minnesota) | 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. Peter Leafblad 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 |
Peter Leafblad, PA 581 Suzanne Ave, Shoreview, MN 55126-2308 Ph: (651) 226-2179 | Peter Leafblad, PA 715 S 8th St, Minneapolis, MN 55404-1210 Ph: (612) 873-6963 |
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