Jacob Leedekerken, in Charlotte, NC - Medicare Emergency Medicine

Jacob Leedekerken, is a medicare enrolled "Emergency Medicine" physician in Charlotte, North Carolina. He went to George Washington University School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Georgia Emergency Department Services, P.c. and his current practice location is 1000 Blythe Blvd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 355-3181.

Jacob Leedekerken is licensed to practice in North Carolina (license number 238485) 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 1003312067.

Contact Information

	Jacob Leedekerken,
	1000 Blythe Blvd, Charlotte, NC 28203-5812
	(704) 355-3181
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob Leedekerken
Gender	Male
Speciality	Emergency Medicine
Experience	6 Years
Location	1000 Blythe Blvd, Charlotte, North Carolina
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:

Jacob Leedekerken attended and graduated from George Washington University School Of Medicine in 2018

NPI Data:

NPI Number: 1003312067
Provider Enumeration Date: 03/30/2018
Last Update Date: 04/03/2018

Medicare PECOS Information:

PECOS PAC ID: 4486901816
Enrollment ID: I20210714000693

Medical Identifiers

Medical identifiers for Jacob Leedekerken such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003312067	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	238485 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northeast Georgia Medical Center, Inc	Gainesville, GA	Hospital
Barrow Regional Medical Center	Winder, GA	Hospital
Northeast Georgia Medical Center Lumpkin	Dahlonega, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Georgia Emergency Department Services, P.c.	5597751032	55

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. Jacob Leedekerken allows following entities to bill medicare on his behalf.

Entity Name	Georgia Emergency Department Services, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508886912 PECOS PAC ID: 5597751032 Enrollment ID: O20040517001016

Entity Name	Acs Primary Care Physicians - Southeast Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766

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. Jacob Leedekerken 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
Jacob Leedekerken, 813 12th St Ne, Washington, DC 20002-4435 Ph: (770) 598-9580	Jacob Leedekerken, 1000 Blythe Blvd, Charlotte, NC 28203-5812 Ph: (704) 355-3181

Reviews and Comments

Emergency Medicine Doctors in Charlotte, NC

Chelsea Kolshak, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3658
Neha Ray, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3181 Fax: 704-355-7047
John B Clark Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Ste 900, Charlotte, NC 28207 Phone: 704-377-2424 Fax: 704-377-2687
Nilesh K. Patel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2171
Michael Stephen Merrill, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211 Phone: 704-377-2424 Fax: 704-377-2687
Brian Zachary Hedges, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd., Cmc/department Of Emergency Medicine, Charlotte, NC 28203 Phone: 704-355-3181 Fax: 704-355-7047

Jacob Leedekerken, - Medicare Emergency Medicine in Charlotte, NC