Dr Gary Leesue, OD is a medicare enrolled "Optometrist" provider in Colonie, New York. His current practice location is
1545 Central Ave, Colonie, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 452-1111.
Dr Gary Leesue is licensed to practice in New York (license number TUV007808-1) 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 1396019121.
Healthcare Provider's Profile
Full Name | Dr Gary Leesue |
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Gender | Male |
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Speciality | Optometrist |
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Location | 1545 Central Ave, Colonie, New York |
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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: 1396019121
- Provider Enumeration Date: 02/24/2012
- Last Update Date: 02/24/2012
Medicare PECOS Information:
- PECOS PAC ID: 7113150004
- Enrollment ID: I20140430000328
Medical Identifiers
Medical identifiers for Dr Gary Leesue such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396019121 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | TUV007808-1 (New York) | 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. Dr Gary Leesue allows following entities to bill medicare on his behalf.
Provider Name | Empire Vision Center Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1750358826 PECOS PAC ID: 4688573876 Enrollment ID: O20040107000405 |
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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. Dr Gary Leesue 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 |
Dr Gary Leesue, OD 3070 Nw 48th Ter, Apt 301, Lauderdale Lakes, FL 33313-7243 Ph: (305) 903-9239 | Dr Gary Leesue, OD 1545 Central Ave, Colonie, NY 12205-5060 Ph: (518) 452-1111 |
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