Dr Kevin S Leslie, PSYD, LCDC is a medicare enrolled "Psychologist" provider in Granbury, Texas. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Supportive Care Llc and his current practice location is
3230 Fall Creek Hwy, Suite 110, Granbury, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 776-7003.
Dr Kevin S Leslie is licensed to practice in Texas (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396123097.
Healthcare Provider's Profile
| Full Name | Dr Kevin S Leslie |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 14 Years |
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| Location | 3230 Fall Creek Hwy, Granbury, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kevin S Leslie graduated from medical school in 2010
NPI Data:
- NPI Number: 1396123097
- Provider Enumeration Date: 05/13/2015
- Last Update Date: 04/27/2018
Medicare PECOS Information:
- PECOS PAC ID: 1759649635
- Enrollment ID: I20171226000050
Medical Identifiers
Medical identifiers for Dr Kevin S Leslie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396123097 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 10910 (Texas) | Secondary |
| 103TF0200X | Psychologist - Forensic | (Texas) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | (Texas) | Secondary |
| 103T00000X | Psychologist | (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Supportive Care Llc | 7719126655 | 56 |
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 Kevin S Leslie allows following entities to bill medicare on his behalf.
| Entity Name | Supportive Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477895043
PECOS PAC ID: 7719126655
Enrollment ID: O20130625000484 |
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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 Kevin S Leslie 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 Kevin S Leslie, PSYD, LCDC
3230 Fall Creek Hwy, Suite 110,
Granbury, TX 76049-7909
Ph: (817) 776-7003 | Dr Kevin S Leslie, PSYD, LCDC
3230 Fall Creek Hwy, Suite 110,
Granbury, TX 76049-7909
Ph: (817) 776-7003 |
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