Dr Matthew Edwin Leafblad, MD in Plymouth, WI

Dr Matthew Edwin Leafblad, MD is a medicare enrolled "Family Medicine" physician in Plymouth, Wisconsin. His current practice location is 2600 Kiley Way, Plymouth, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 449-7000.

Dr Matthew Edwin Leafblad is licensed to practice in Wisconsin (license number 68545) 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 1629223623.

Contact Information

	Dr Matthew Edwin Leafblad, MD
	2600 Kiley Way, Plymouth, WI 53073-5020
	(920) 449-7000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Matthew Edwin Leafblad
Gender	Male
Speciality	Family Medicine
Location	2600 Kiley Way, Plymouth, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629223623
Provider Enumeration Date: 11/18/2008
Last Update Date: 01/14/2020

Medicare PECOS Information:

PECOS PAC ID: 9931265626
Enrollment ID: I20100819000907

Medical Identifiers

Medical identifiers for Dr Matthew Edwin Leafblad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629223623	NPI	-	NPPES
100023793	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	68545 (Wisconsin)	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 Matthew Edwin Leafblad allows following entities to bill medicare on his behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

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 Matthew Edwin Leafblad 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 Matthew Edwin Leafblad, MD 2600 Kiley Way, Plymouth, WI 53073-5020 Ph: (920) 449-7000	Dr Matthew Edwin Leafblad, MD 2600 Kiley Way, Plymouth, WI 53073-5020 Ph: (920) 449-7000

Reviews and Comments

Family Medicine Doctors in Plymouth, WI

Dr. Jennifer Ann-gabrys Rench, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Walton Dr, Plymouth, WI 53073 Phone: 920-893-4322 Fax: 920-893-9506
Mr. Michael Roy Lunde, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2636 Eastern Ave, Plymouth, WI 53073 Phone: 920-893-4010
Dr. Dean M Olson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 901 Reed St, Plymouth, WI 53073 Phone: 920-893-1771
Megan M Butler, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 825 Walton Dr, Plymouth, WI 53073 Phone: 920-496-4700
George S Schroeder, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Eastern Ave, Plymouth, WI 53073 Phone: 920-893-0526 Fax: 920-893-9409
Dr. Scott R Peschke, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 Kiley Way, Plymouth, WI 53073 Phone: 920-449-7000

Dr Matthew Edwin Leafblad, MD - Medicare Family Medicine in Plymouth, WI