Jose M Leiva, MD in Appleton, WI - Medicare Family Practice

Jose M Leiva, MD is a medicare enrolled "Family Medicine" physician in Appleton, Wisconsin. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Partnership Community Health Center Inc, Aurora Advanced Healthcare Inc, Aurora Medical Group, Inc. and his current practice location is 5471 W Waterford Ln, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 731-7445.

Jose M Leiva is licensed to practice in Wisconsin (license number 44271) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1962496760.

Contact Information

	Jose M Leiva, MD
	5471 W Waterford Ln, Appleton, WI 54913-8510
	(920) 731-7445
	Not Available

Map and Direction

Physician's Profile

Full Name	Jose M Leiva
Gender	Male
Speciality	Family Practice
Experience	31 Years
Location	5471 W Waterford Ln, Appleton, Wisconsin
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jose M Leiva graduated from medical school in 1993

NPI Data:

NPI Number: 1962496760
Provider Enumeration Date: 09/07/2005
Last Update Date: 02/29/2024

Medicare PECOS Information:

PECOS PAC ID: 7113015645
Enrollment ID: I20071117000059

Medical Identifiers

Medical identifiers for Jose M Leiva such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962496760	NPI	-	NPPES
34359400	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	44271 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thedacare Regional Med Ctr - Neenah	Neenah, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Partnership Community Health Center Inc	2062452600	7
Aurora Advanced Healthcare Inc	3375625833	928
Aurora Medical Group, Inc.	6709794258	3269

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. Jose M Leiva allows following entities to bill medicare on his behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Entity Name	Lakeshore Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481

Entity Name	Aurora Advanced Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694

Entity Name	Partnership Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225074008 PECOS PAC ID: 2062452600 Enrollment ID: O20140213001404

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. Jose M Leiva 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
Jose M Leiva, MD 5337 W Grande Market Dr, Appleton, WI 54913-8442 Ph: (920) 731-7445	Jose M Leiva, MD 5471 W Waterford Ln, Appleton, WI 54913-8510 Ph: (920) 731-7445

Reviews and Comments

Family Medicine Doctors in Appleton, WI

Michael John Van Abel, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3916 N Intertech Ct, Appleton, WI 54913 Phone: 920-996-1000
Stephen C Fuller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3916 N Intertech Ct, Appleton, WI 54913 Phone: 920-996-1000
Samuel James Heiks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3916 N Intertech Ct, Appleton, WI 54913 Phone: 920-996-1000 Fax: 920-996-1054
Brittany E Goodrich-braun, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-830-6877
Dirk Jon Derksen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Wagon Wheel Dr, Appleton, WI 54913 Phone: 920-731-6374
Ms. Cynthia Frances Susedik, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-830-6877 Fax: 920-993-5037
N Carter Noble, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3329 N Richmond St, Appleton, WI 54911 Phone: 920-380-2715

Jose M Leiva, MD - Medicare Family Practice in Appleton, WI