LEAH D PREDUM PA-C - NPI 1417263336 - Physician Assistant in Portage, MI

Q: What is Leah Predum's NPI number?

The NPI number for Leah Predum is 1417263336. It was assigned to this individual provider in the NPPES registry on August 30, 2010.

Q: What is Leah Predum's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Leah Predum was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Leah D Predum Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEAH D PREDUM PA-C (NPI 1417263336) is an individual physician assistant in Portage, Michigan, licensed in Michigan (5601005839) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portage.

NPPES Registry Identity

NPI1417263336

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLEAH D PREDUMCredential: PA-C

Location Address2700 EAST CENTRE AVEPortage, MI 49002

Mailing Address8001 Angling RdPortage, MI 49024-7422

Phone(269) 286-7050

Fax(269) 286-7051

Sole ProprietorNo

Enumeration DateAugust 30, 2010

Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration

NPPES CertifiedOctober 12, 2020

✔ NPI 1417263336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601005839

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2700 EAST CENTRE AVE, Portage, MI 49002

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Secondary Practice Location 1

Location 18001 Angling RdPortage, MI 49024-7422 · Phone (269) 329-0944

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leah D Predum Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BENJAMIN DAVID SAGE PA

Physician Assistant