Active NPI
Benjamin Scott Leggerie
- Physician Assistant
- Sayre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 116 S Elmer Ave
Sayre, PA 18840-2006 - Phone
- (570) 887-2849
- NPI assigned
- Sep 28, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
116 S Elmer Ave
Sayre, PA 18840-2006
Mailing address
4224 Elsinore St
Philadelphia, PA 19124-4806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
34 Northeast Dr
Hershey, PA 17033-2732
Phone (717) 835-1900
850 Walnut Bottom Rd
Suite 304
Carlisle, PA 17013-3615
Phone (717) 763-7400
875 Poplar Church Rd
Suite 320
Camp Hill, PA 17011-2203
Phone (717) 763-7400
Hospital & facility affiliations
- Penn State Health Holy Spirit Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027792 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Single Specialty | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Single Specialty | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Single Specialty | Current | Accepting new patients |
Locations
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
116 S Elmer Ave
Sayre, PA 18840
Phone (570) 887-2849
Interoperability endpoints
- bleggerie170854@direct-guthrie.org
- benjaminleggerie@aop.medentdirect.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Camp Hill, PA
- NPI 1588749840
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
Single Specialty
-
- Family Medicine Physician
- Athens, PA
- NPI 1962451153
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Camp Hill, PA
- NPI 1659566008
Hospital
-
- General Acute Care Hospital
- Camp Hill, PA
- NPI 1881690212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1154092278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4224 ELSINORE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191244806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 S ELMER AVE",
"city": "SAYRE",
"state": "PA",
"postal_code": "188402006",
"telephone_number": "570-887-2849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGGERIE",
"first_name": "BENJAMIN",
"middle_name": "SCOTT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-28",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sayre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.