Edmun W Leo, MD in Richmond, CA - Medicare Pediatrics

Edmun W Leo, MD is a medicare enrolled "Pediatrics" physician in Richmond, California. His current practice location is 901 Nevin Ave, Richmond, California. You can reach out to his office (for appointments etc.) via phone at (510) 307-1500.

Edmun W Leo is licensed to practice in California (license number A61123) 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 1619052388.

Contact Information

	Edmun W Leo, MD
	901 Nevin Ave, Richmond, CA 94801-3143
	(510) 307-1500
	Not Available

Map and Direction

Physician's Profile

Full Name	Edmun W Leo
Gender	Male
Speciality	Pediatrics
Location	901 Nevin Ave, Richmond, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619052388
Provider Enumeration Date: 10/25/2006
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 4486834389
Enrollment ID: I20110210000002

Medical Identifiers

Medical identifiers for Edmun W Leo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619052388	NPI	-	NPPES
00A611230	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A61123 (California)	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. Edmun W Leo allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Edmun W Leo 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
Edmun W Leo, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Edmun W Leo, MD 901 Nevin Ave, Richmond, CA 94801-3143 Ph: (510) 307-1500

Reviews and Comments

Pediatrics Doctors in Richmond, CA

Edward Eugene Mahl, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500
Haylene Anesoir, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Broadway, Suite 4, Richmond, CA 94804 Phone: 510-237-9537
Anjana Ray, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500
Sarah Horner, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500
Jennifer An, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 150 Harbour Way N, Richmond, CA 94804 Phone: 510-237-9537
Susan Elizabeth Stephens Dierauf, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Kaiser Richmond Campus, Richmond, CA 94801 Phone: 510-307-1500
Cherilyn M. Brunetti, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500

Edmun W Leo, MD - Medicare Pediatrics in Richmond, CA