Dr Leiv M Takle Jr, MD is a medicare enrolled "Ophthalmology" physician in Griffin, Georgia. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Leiv M Takle Md Pc and his current practice location is
646 S 8th St, Griffin, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 228-3836.
Dr Leiv M Takle Jr is licensed to practice in Georgia (license number 057850) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609807445.
Physician's Profile
| Full Name | Dr Leiv M Takle Jr |
|---|
| Gender | Male |
|---|
| Speciality | Ophthalmology |
|---|
| Experience | 22 Years |
|---|
| Location | 646 S 8th St, Griffin, Georgia |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Leiv M Takle Jr graduated from medical school in 2002
NPI Data:
- NPI Number: 1609807445
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 04/24/2017
Medicare PECOS Information:
- PECOS PAC ID: 7719990134
- Enrollment ID: I20060801000022
Medical Identifiers
Medical identifiers for Dr Leiv M Takle Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609807445 | NPI | - | NPPES |
| 180697446C | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 057850 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Leiv M Takle Md Pc | 2062400286 | 3 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Leiv M Takle Jr allows following entities to bill medicare on his behalf.
| Entity Name | Leiv M Takle Md Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1568665404
PECOS PAC ID: 2062400286
Enrollment ID: O20040505000509 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Leiv M Takle Jr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Leiv M Takle Jr, MD
646 S 8th St,
Griffin, GA 30224-4214
Ph: (770) 228-3836 | Dr Leiv M Takle Jr, MD
646 S 8th St,
Griffin, GA 30224-4214
Ph: (770) 228-3836 |
Reviews and Comments