Individual ProviderGary A LeopoldAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address3315 Watt Ave, Sacramento, CA 95821-3600(916) 481-6800PECOS EnrollmentThis provider is enrolled in PECOS as GARY LEOPOLD.Based on the most recent information from CMS, provider Gary A Leopold is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1295735520Provider TypeIndividualFull NameLeopold, Gary ATitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date7/28/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address3315 Watt Ave, Sacramento, CA 95821-3600Phone(916) 481-6800Fax(916) 481-1882Mailing LocationMailing AddressPO Box 660970, Sacramento, CA 95866-0970Phone(916) 481-6800Fax(916) 481-1881Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseG55258CaliforniaProvider IdentifiersIDDescriptionIssuerIDYYY20507YDescriptionMedicaidIssuerUnlistedCalifornia