Dr Tina Marie Leisure, in Parkersburg, WV - Medicare Psychologist Provider

Dr Tina Marie Leisure, is a medicare enrolled "Psychologist" provider in Parkersburg, West Virginia. Her current practice location is 3 Western Hills Dr, Parkersburg, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 420-1395.

Dr Tina Marie Leisure is licensed to practice in West Virginia (license number 684) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184768491.

Contact Information

	Dr Tina Marie Leisure,
	3 Western Hills Dr, Parkersburg, WV 26105-8122
	(304) 420-1395
	(304) 420-1364

Healthcare Provider's Profile

Full Name	Dr Tina Marie Leisure
Gender	Female
Speciality	Psychologist
Location	3 Western Hills Dr, Parkersburg, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184768491
Provider Enumeration Date: 02/19/2007
Last Update Date: 02/27/2012

Medicare PECOS Information:

PECOS PAC ID: 4688773484
Enrollment ID: I20080207000255

Medical Identifiers

Medical identifiers for Dr Tina Marie Leisure such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184768491	NPI	-	NPPES
3810007824	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	684 (West Virginia)	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 Tina Marie Leisure 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 Tina Marie Leisure, 839 Larkmead Rd, Parkersburg, WV 26101-7579 Ph: (304) 481-4526	Dr Tina Marie Leisure, 3 Western Hills Dr, Parkersburg, WV 26105-8122 Ph: (304) 420-1395

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Psychologist in Parkersburg, WV

Ms. Brenda Lea Tebay, M.A. Psychologist Medicare: Medicare Enrolled Practice Location: 1200 Stephenson Ave Ste 400, Parkersburg, WV 26101 Phone: 304-699-0506 Fax: 304-422-8850
Mrs. Cindy Carlson Inman, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2121 7th St, Parkersburg, WV 26101 Phone: 304-485-1721 Fax: 304-485-6710
Richard A Grose, MA PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3194 Core Rd, Parkersburg, WV 26104 Phone: 304-485-5185 Fax: 304-485-0051
Paul A Dunn, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3 Western Hills Dr, Parkersburg, WV 26105 Phone: 304-420-1300
Mrs. Barbara June Parker, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2121 7th St, Parkersburg, WV 26101 Phone: 304-485-1721
Matthew Dehmlow, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1210 13th St, Parkersburg, WV 26101 Phone: 304-615-7123

Dr Tina Marie Leisure, - Medicare Psychologist in Parkersburg, WV