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Joshua James Leslie

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as JOSHUA LESLIE.

Based on the most recent information from CMS, provider Joshua James Leslie is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1225126360
Provider Type
Individual
Full Name
Leslie, Joshua James
Credential
PA-C

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/11/2006
Last Updated
12/23/2022

Contact Information

Practice Location

9015 N 3rd St, Phoenix, AZ 85020-2444

(480) 882-4545

(602) 870-6348

Mailing Location

7500 N Dreamy Draw Dr Ste 145, Phoenix, AZ 85020-4668

(480) 882-4545

(480) 882-5814

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5022 Arizona
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA06924 Texas
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA052692 Pennsylvania

Provider Identifiers

ID	Description	Issuer
ID 649962	Description Medicaid	Issuer Unlisted Arizona

Joshua James Leslie

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Underwood, Kooper Harrison

Mintz, Rose Marie

Cinalli, Maria Veronica

Langford, Sydney Jane

Migdal, Talor

Allison, Crystal Dawn

Leguire, Alexandra Marie

Salmi, Kristen

Vacco, Alaina Anne

Lopez, Jose