Dr Luis Ledesma Gamboa, MD in Philadelphia, PA

Dr Luis Ledesma Gamboa, MD is a medicare enrolled "Emergency Medicine - Pediatric Emergency Medicine" physician in Philadelphia, Pennsylvania. His current practice location is 3401 N Broad St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 707-5030.

Dr Luis Ledesma Gamboa is licensed to practice in Pennsylvania (license number MD450133) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699936062.

Contact Information

	Dr Luis Ledesma Gamboa, MD
	3401 N Broad St, Philadelphia, PA 19140-5103
	(215) 707-5030
	(215) 707-3494

Map and Direction

Physician's Profile

Full Name	Dr Luis Ledesma Gamboa
Gender	Male
Speciality	Emergency Medicine - Pediatric Emergency Medicine
Location	3401 N Broad St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699936062
Provider Enumeration Date: 06/18/2008
Last Update Date: 04/24/2018

Medicare PECOS Information:

PECOS PAC ID: 2466624366
Enrollment ID: I20150220000697

Medical Identifiers

Medical identifiers for Dr Luis Ledesma Gamboa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699936062	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	MD450133 (Pennsylvania)	Primary

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 Luis Ledesma Gamboa allows following entities to bill medicare on his behalf.

Entity Name	Schc Pediatric Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255363578 PECOS PAC ID: 0648179432 Enrollment ID: O20040226000401

Entity Name	Stc Pediatrics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144864547 PECOS PAC ID: 7315372323 Enrollment ID: O20200122001254

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 Luis Ledesma Gamboa 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 Luis Ledesma Gamboa, MD 2450 W Hunting Park Ave, Philadelphia, PA 19129-1302 Ph: (215) 707-5030	Dr Luis Ledesma Gamboa, MD 3401 N Broad St, Philadelphia, PA 19140-5103 Ph: (215) 707-5030

Reviews and Comments

Emergency Medicine Doctors in Philadelphia, PA

Dr. Rika N Omalley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526
Rian John Pillitteri, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 N Broad St, Philadelphia, PA 19102 Phone: 215-762-7963
Kenneth Kleckner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5501 Old York Rd, Einstein Medical Center - Philadelphia, Philadelphia, PA 19141 Phone: 215-456-6679 Fax: 215-456-8502
Dr. Shruti Chandra, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526
Ashley Bonsu, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-316-5151
Jennifer Jie Xu, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10800 Knights Rd, Philadelphia, PA 19114 Phone: 215-612-5161
Dr. Alan Barte, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5501 Old York Rd Ste 1, Philadelphia, PA 19141 Phone: 215-456-7890

Dr Luis Ledesma Gamboa, MD - Medicare Emergency Medicine in Philadelphia, PA