Benjamin Glen Leavitt (NPI# 1629157359, PAC ID# 1850301532) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1629157359 |
| PAC ID by PECOS | 1850301532 |
| Professional Enrollment ID | I20060425000690 |
| Full Name | Benjamin Glen Leavitt |
| Organization Legal Name | MERCY HOSPITAL CASSVILLE |
| Address |
94 Main St Cassville MO 65625-1610 |
| Phone Number | 4178476000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8820999139 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 261316 | MERCY HOSPITAL - AURORA |
| 261317 | MERCY HOSPITAL - CASSVILLE |
| 260065 | MERCY HOSPITAL SPRINGFIELD |
| Address | Phone | Organization |
|---|---|---|
| 500 Porter Ave, Aurora, MO 65605-2399 | 4176782122 | MERCY HOSPITAL AURORA |
| 94 Main St, Cassville, MO 65625-1610 | 4178476000 | MERCY HOSPITAL CASSVILLE |
| Organization Legal Name | MERCY HOSPITAL CASSVILLE |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Allen Andelin | Family Medicine | Mercy Hospital Cassville | 94 Main St, Cassville, MO 65625-1610 |
| Paul B Andelin | Family Medicine | Mercy Hospital Cassville | 94 Main St, Cassville, MO 65625-1610 |
| John R Forsyth | Family Medicine | Mercy Hospital Cassville | 94 Main St, Cassville, MO 65625-1610 |
| Street Address |
94 MAIN ST |
| City | CASSVILLE |
| State | MO |
| Zip | 65625-1610 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Allen Andelin | Family Medicine | Mercy Hospital Cassville | 94 Main St, Cassville, MO 65625-1610 |
| Carrie A Sullivan | Nurse Practitioner | Duffy Health Center, Inc | 94 Main St, Hyannis, MA 02601-3146 |
| Clinton R Loy | Emergency Medicine | Mercy Clinic Joplin LLC | 94 Main St, Cassville, MO 65625-1610 |
| Moira L Long | Nurse Practitioner | Duffy Health Center, Inc | 94 Main St, Hyannis, MA 02601-3146 |
| Tracy A Godfrey | Family Medicine | Mercy Clinic Joplin LLC | 94 Main St, Cassville, MO 65625-1610 |
| Kimberly H J Nappi | Physical Therapy | Back In Motion Physical Therapy LLC | 94 Main St, Gorham, ME 04038-1340 |
| Stephanie M Delande | Nurse Practitioner | Duffy Health Center, Inc | 94 Main St, Hyannis, MA 02601-3146 |
| Ryan W Weeks | Physical Therapy | Back In Motion Physical Therapy LLC | 94 Main St, Gorham, ME 04038-1340 |
| Richard J Price | Diagnostic Radiology | Mercy Clinic Joplin LLC | 94 Main St, Cassville, MO 65625-1610 |
| Paul B Andelin | Family Medicine | Mercy Hospital Cassville | 94 Main St, Cassville, MO 65625-1610 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian E Basham | Family Medicine | Ozark Tri-county Health Care Consortium | 1101 Main St, Cassville, MO 65625-1118 |
| Julie A Stapp | Nurse Practitioner | Ozark Tri-county Health Care Consortium | 1101 Main St, Cassville, MO 65625-1118 |
| Douglas C Johnson | Chiropractic | 907 Main St, Cassville, MO 65625-1333 | |
| Dale Assing | Optometry | 504 W St, Cassville, MO 65625-1462 | |
| Rita Logan Seger | Internal Medicine | Mercy Clinic Springfield Communities | 92 Main St, Cassville, MO 65625-1610 |
| John R Forsyth | Family Medicine | Mercy Hospital Cassville | 94 Main St, Cassville, MO 65625-1610 |
| Jesse G. Taylor | Gastroenterology | Mercy Clinic Springfield Communities | 92 Main St, Cassville, MO 65625-1610 |
| Miricle Anderson | Nurse Practitioner | Mercy Clinic Springfield Communities | 92 Main St, Cassville, MO 65625-1610 |
| Steven Kent Runnels | Chiropractic | 101 S Main St, Suite 2, Cassville, MO 65625-1651 | |
| Mark D Matthews | Family Practice | 101 Main St, Suite 1, Cassville, MO 65625-1651 | |
| Find all physicians in zip 65625 | |||
| City | CASSVILLE |
| Zip Code | 65625 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CASSVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Benjamin Glen Leavitt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.