Keith James Leavell, MD | |
1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303-2735 | |
(320) 252-5131 | |
(320) 240-2118 |
Full Name | Keith James Leavell |
---|---|
Gender | Male |
Speciality | Critical Care (intensivists) |
Experience | 36 Years |
Location | 1200 6th Ave N, Saint Cloud, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184606311 | NPI | - | NPPES |
1011246 | Other | PREFERRED ONE | |
597042 | Other | ARAZ GROUP | |
112115 | Other | U CARE | |
COMP | Other | MMSI | |
110122640 | Other | RR MEDICARE | |
597042 | Other | AMERICAS PPO | |
928880500 | Other | MEDICAL ASSISTANCE MA | |
COMP | Other | ONE HEALTH PLAN | |
COMP | Other | GREAT WEST | |
HP10860 | Other | HEALTH PARTNERS | |
COMP | Other | CHAMPUS | |
4800134 | Other | MEDICA HEALTH PLANS | |
C11369 | Other | RR MEDICARE | |
27T22LE | Other | BLUE CROSS BLUE SHIELD | |
2114069 | Other | FIRST HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 34628 (Minnesota) | Primary |
207RS0012X | Internal Medicine - Sleep Medicine | 34628 (Minnesota) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Cloud Hospital | Saint cloud, MN | Hospital |
Alomere Health | Alexandria, MN | Hospital |
Centracare Health - Monticello | Monticello, MN | Hospital |
Carris Health Llc | Willmar, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centracare Clinic | 2466363395 | 632 |
St Cloud Hospital | 4880594779 | 187 |
Entity Name | Centracare Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Entity Name | Mille Lacs Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548212699 PECOS PAC ID: 4789577834 Enrollment ID: O20040204000052 |
Entity Name | St Cloud Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134 |
Mailing Address | Practice Location Address |
---|---|
Keith James Leavell, MD 1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303-2735 Ph: (320) 252-5131 | Keith James Leavell, MD 1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303-2735 Ph: (320) 252-5131 |
Bradley E Currier, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303 Phone: 320-240-2205 Fax: 320-229-5174 | |
Bharath Manu Akkara Veetil, MBBS Pulmonary Disease Medicare: May Accept Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 | |
Kamiab Delfanian, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1900 Centracare Cir, Suite 2400, Saint Cloud, MN 56303 Phone: 320-229-5099 Fax: 320-229-5171 | |
Jyh-yau Tsaur, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 | |
John D Olsen, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2118 | |
Mark J Martone, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2118 | |
Matthew Eggebrecht, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 |