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Dani Nicole Leonard

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

4851 E Pickard St, Mt Pleasant, MI 48858-2029

PECOS Enrollment

This provider is enrolled in PECOS as DANI LEONARD.

Based on the most recent information from CMS, provider Dani Nicole Leonard is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1619495116
Provider Type
Individual
Full Name
Leonard, Dani Nicole
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
9/5/2017
Last Updated
3/17/2018

Contact Information

Practice Location

4851 E Pickard St, Mt Pleasant, MI 48858-2029

(989) 775-1600

Unlisted Fax

Mailing Location

PO Box 2579, Midland, MI 48641-2579

(989) 205-4500

(989) 794-5942

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5601008352 Michigan

Dani Nicole Leonard

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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