Jerald W Leisy
JW LEISY MD PA


Address: 3310 E Douglas Ave, Suite 101, Wichita, KS 67208-3316
Phone: 3166812937

Jerald W Leisy (NPI# 1275605586, PAC ID# 4587619838) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.

Physician Overview

Nation Provider ID (NPI) 1275605586
PAC ID by PECOS 4587619838
Professional Enrollment ID I20050318000759
Full Name Jerald W Leisy
Organization Legal Name JW LEISY MD PA
Address 3310 E Douglas Ave
Suite 101
Wichita
KS 67208-3316
Phone Number 3166812937
Gender M
Credential MD
Graduation Year 1972
Primary Specialty PSYCHIATRY
Group Practice PAC ID 0941452304
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
3310 E Douglas Ave, Suite 101, Wichita, KS 67208-3316 3166812937 JW LEISY MD PA
3310 E Douglas Ave, Wichita, KS 67208-3316 3166812937 JW LEISY MD PA

Organization Information

Organization Legal Name JW LEISY MD PA
Physicians 1

Office Location

Street Address 3310 E DOUGLAS AVE
SUITE 101
City WICHITA
State KS
Zip 67208-3316

Physicians in the same location

Name Specialty Organization Address
Sarah Michelle Post Clinical Social Worker 3310 E Douglas Ave, Suite 101, Wichita, KS 67208-3316
Andrea E Holt Clinical Social Worker 3310 E Douglas Ave, Suite 101, Wichita, KS 67208-3316

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Competitor

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City WICHITA
Zip Code 67208
Specialty PSYCHIATRY
City + Specialty WICHITA + PSYCHIATRY

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Dataset Information

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.

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