Leroy E Schaefer, M.D.
Individual provider Active NPI Family Medicine Physician · Huntingburg, IN
NPI 1902869332 · NPPES record last updated Mar 28, 2011
Key facts
- NPI
- 1902869332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01037694 (IN)
- Practice address
- 407 E 22ND St
Huntingburg, IN 47542-8964 - Phone
- (812) 683-3612
- Fax
- (812) 683-2819
- NPI assigned
- Apr 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deaconess Memorial Medical Center Inc
Practice addresses (Care Compare)
407 E 22ND St
Memorial Hospital and Health Care Ctr
Huntingburg, IN 47542-8964
Phone (812) 996-3612
600 W 13TH St
Jasper, IN 47546-1882
800 W 9TH St
Jasper, IN 47546-2514
Phone (812) 996-0188
Hospital & facility affiliations
- Deaconess Home Health, LLC
- Preferred Home Health Care, Inc
- Angels Care Home Health
- Heart to Heart Hospice of Southwest Indiana LLC
- Memorial Hospital and Health Care Center
- Deaconess Hospital Inc
- St Charles Health Campus
- Scenic Hills at the Monastery
- Serenity Spring Senior Living at Northwood
- Brookside Village Inc
- Waters of Huntingburg, the
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 13 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070821000155 | IN | Practitioner - Family Practice | 6002908183 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01037694 | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Memorial Medical Center Inc | Current |
Accepting new patients | |
| Deaconess Memorial Medical Center Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Memorial Medical Center Inc | Family Medicine | Current |
Accepting new patients |
| Deaconess Memorial Medical Center Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Memorial Medical Center Inc | Past | Accepting new patients |
Locations
214 E 17th St
Huntingburg, IN 47542
Phone (812) 683-3612
407 E 22nd St
Huntingburg, IN 47542
Phone (812) 683-3612
600 W 13th St
Ste 100
Jasper, IN 47546
Phone (812) 996-2345
800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345
Interoperability endpoints
- lschaefer1052123@direct.deaconess.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01037694 | IN | Yes |
Addresses
Primary practice location
407 E 22ND St
Huntingburg, IN 47542-8964
Mailing address
PO Box 327
Huntingburg, IN 47542-0327
Phone (812) 683-3612
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100325270 | Medicaid | IN |
Other providers in Huntingburg, IN
- Kelly Jo Pund
- Putnam County Hospital
- Kendra Ann Renner
- Leah Ann Rottet
- Stephanie Rumble
- Catherine L Schepers
- Diana Lynn Schwinghamer
- Sherer Family Medicine, PC
- Rachelle E Sherer
- Ryan J Sherer
All providers in Huntingburg, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.