Dr Jonathan L Leggett, PHD in Gallup, NM - Medicare Psychologist Provider

Dr Jonathan L Leggett, PHD is a medicare enrolled "Psychologist - Prescribing (medical)" provider in Gallup, New Mexico. His current practice location is 303 S First St, Gallup, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 397-7197.

Dr Jonathan L Leggett is licensed to practice in New Mexico (license number 1279) 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 1831497783.

Contact Information

	Dr Jonathan L Leggett, PHD
	303 S First St, Gallup, NM 87301-6211
	(505) 397-7197
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jonathan L Leggett
Gender	Male
Speciality	Psychologist - Prescribing (medical)
Location	303 S First St, Gallup, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831497783
Provider Enumeration Date: 03/02/2011
Last Update Date: 06/27/2023

Medicare PECOS Information:

PECOS PAC ID: 8527245349
Enrollment ID: I20140127000879

Medical Identifiers

Medical identifiers for Dr Jonathan L Leggett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831497783	NPI	-	NPPES
201050210	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	99045855A (Indiana)	Secondary
103TC1900X	Psychologist - Counseling	1279 (New Mexico)	Secondary
103TP0016X	Psychologist - Prescribing (medical)	1279 (New Mexico)	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 Jonathan L Leggett allows following entities to bill medicare on his behalf.

Entity Name	Presbyterian Medical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871505032 PECOS PAC ID: 2062324684 Enrollment ID: O20031103000414

Entity Name	Gallup Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336807254 PECOS PAC ID: 3375926975 Enrollment ID: O20220815001928

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 Jonathan L Leggett 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 Jonathan L Leggett, PHD 303 S First St, Gallup, NM 87301-6211 Ph: (505) 397-7197	Dr Jonathan L Leggett, PHD 303 S First St, Gallup, NM 87301-6211 Ph: (505) 397-7197

Reviews and Comments

Psychologist in Gallup, NM

Belinda Cross, MS, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Aztec Ave, Gallup, NM 87301 Phone: 505-721-1828
Sharna J Sutherin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1396
Mary Lindenmeyer, LPCC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Aztec Ave, P. O. 1318, Gallup, NM 87301 Phone: 505-722-4101
Dr. Marita Delaney, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 505-863-3828
Matthew Dennis Jones, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1396
Dr. Mary S Loescher, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Aztec Ave, Gallup, NM 87301 Phone: 505-721-1800
Ms. Phyllis Pine, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Aztec Ave, Gallup, NM 87301 Phone: 505-721-1800

Dr Jonathan L Leggett, PHD - Medicare Psychologist in Gallup, NM