Dr Jerry Lee Leonard, DDS in Gaithersburg, MD - Medicare Dentist Provider

Dr Jerry Lee Leonard, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Gaithersburg, Maryland. His current practice location is 985 Russell Ave, Gaithersburg, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 926-2928.

Dr Jerry Lee Leonard is licensed to practice in Maryland (license number 17407) 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 1104910694.

Contact Information

	Dr Jerry Lee Leonard, DDS
	985 Russell Ave, Gaithersburg, MD 20879-6211
	(301) 926-2928
	Not Available

Healthcare Provider's Profile

Full Name	Dr Jerry Lee Leonard
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	985 Russell Ave, Gaithersburg, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104910694
Provider Enumeration Date: 10/02/2006
Last Update Date: 10/22/2021

Medicare PECOS Information:

PECOS PAC ID: 7012219793
Enrollment ID: I20190925002567

Medical Identifiers

Medical identifiers for Dr Jerry Lee Leonard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104910694	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	5488 (Oklahoma)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	17407 (Maryland)	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. Dr Jerry Lee Leonard 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 Jerry Lee Leonard, DDS 985 Russell Ave, Gaithersburg, MD 20879-6211 Ph: (301) 926-2928	Dr Jerry Lee Leonard, DDS 985 Russell Ave, Gaithersburg, MD 20879-6211 Ph: (301) 926-2928

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Dentist in Gaithersburg, MD

Patricio Herdoiza, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 237 Kentlands Blvd, Gaithersburg, MD 20878 Phone: 301-987-5200 Fax: 301-987-5511
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Dr. Rizwan Ahmad, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 115 Market St, Gaithersburg, MD 20878 Phone: 301-777-7700 Fax: 301-777-7710
Dr. Raimundo Javier Lagos, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 841 Quince Orchard Blvd, Gaithersburg, MD 20878 Phone: 301-948-1225
Dr. Imtiaz Noor, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 106 S Frederick Ave, Gaithersburg, MD 20877 Phone: 301-947-3131 Fax: 301-947-0461
Yasmin Akhlaghi, Dentist Medicare: Not Enrolled in Medicare Practice Location: 9069 Shady Grove Ct, Gaithersburg, MD 20877 Phone: 301-977-3766
Dr. Lourdes Rocio Solis, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 426 E Diamond Ave, Gaithersburg, MD 20877 Phone: 301-990-8435 Fax: 301-990-4218

Dr Jerry Lee Leonard, DDS - Medicare Dentist in Gaithersburg, MD