Ethan Myles Leavitt, DO is a medicare enrolled "Family Medicine" physician in Anthony, Kansas. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Hospital District No. 6 Of Harper County Kansas and his current practice location is
485 N Ks Hwy 2, Anthony, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 914-1200.
Ethan Myles Leavitt is licensed to practice in Arizona (license number 006003) 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 1780995746.
Physician's Profile
Full Name | Ethan Myles Leavitt |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 15 Years |
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Location | 485 N Ks Hwy 2, Anthony, Kansas |
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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:
- Ethan Myles Leavitt attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2009
NPI Data:
- NPI Number: 1780995746
- Provider Enumeration Date: 06/24/2010
- Last Update Date: 12/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 5395979975
- Enrollment ID: I20191119002681
Medical Identifiers
Medical identifiers for Ethan Myles Leavitt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780995746 | NPI | - | NPPES |
846899 | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 006003 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Hospital District No. 6 Of Harper County Kansas | 3779571906 | 6 |
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. Ethan Myles Leavitt allows following entities to bill medicare on his behalf.
Entity Name | Hospital District No. 6 Of Harper County Kansas |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467427674 PECOS PAC ID: 3779571906 Enrollment ID: O20040505000589 |
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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. Ethan Myles Leavitt 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 |
Ethan Myles Leavitt, DO 485 N Ks Hwy 2, Anthony, KS 67003-2526 Ph: (620) 914-1200 | Ethan Myles Leavitt, DO 485 N Ks Hwy 2, Anthony, KS 67003-2526 Ph: (620) 914-1200 |
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