Mr Raymond B Leidich, MD in Liberal, KS - Medicare Urology

Mr Raymond B Leidich, MD is a medicare enrolled "Urology" physician in Liberal, Kansas. His current practice location is 2134 N Kansas Ave, Liberal, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 624-1500.

Mr Raymond B Leidich is licensed to practice in Kansas (license number 04-30944) 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 1841262938.

Contact Information

	Mr Raymond B Leidich, MD
	2134 N Kansas Ave, Liberal, KS 67901-2012
	(620) 624-1500
	(620) 624-1501

Physician's Profile

Full Name	Mr Raymond B Leidich
Gender	Male
Speciality	Urology
Location	2134 N Kansas Ave, Liberal, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841262938
Provider Enumeration Date: 02/03/2006
Last Update Date: 10/13/2016

Medicare PECOS Information:

PECOS PAC ID: 5991757437
Enrollment ID: I20050214000285

Medical Identifiers

Medical identifiers for Mr Raymond B Leidich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841262938	NPI	-	NPPES
200335440A	Medicaid	KS
100024200A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	04-30944 (Kansas)	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. Mr Raymond B Leidich 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
Mr Raymond B Leidich, MD 2134 N Kansas Ave, Liberal, KS 67901-2012 Ph: (209) 339-9036	Mr Raymond B Leidich, MD 2134 N Kansas Ave, Liberal, KS 67901-2012 Ph: (620) 624-1500

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Mr Raymond B Leidich, MD - Medicare Urology in Liberal, KS