Individual provider Active NPI

Benjamin Scott Leggerie

  • Physician Assistant
  • Sayre, PA
National Provider Identifier
1154092278
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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

Updated by the provider on Sep 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211228002411 PA Practitioner - Physician Assistant 8527459635 Reassigns benefits to 2 organizations
I20230201002160 NY Practitioner - Physician Assistant 8527459635 Reassigns benefits to 1 organization

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
Aop, Inc.Group PAC ID 7012955909, 12 clinicians

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 Hospital, Camp Hill, PA, CCN 390004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
027792NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. Single Specialty CurrentSince Dec 20, 2021 Accepting new patients
Guthrie Medical Group, P.C. Single Specialty CurrentSince Jan 18, 2023 Accepting new patients
Guthrie Medical Group, P.C. Single Specialty CurrentSince Dec 20, 2021 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

  • Direct secure messaging: bleggerie170854@direct-guthrie.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.