Kenneth M Leavitt, DPM is a medicare enrolled "Podiatrist" physician in Boston, Massachusetts. His current practice location is
125 Parker Hill Ave, Ste 390, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 277-3800.
Kenneth M Leavitt is licensed to practice in Massachusetts (license number 1680) 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 1386672343.
Physician's Profile
Full Name | Kenneth M Leavitt |
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Gender | Male |
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Speciality | Podiatrist |
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Location | 125 Parker Hill Ave, Boston, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386672343
- Provider Enumeration Date: 06/29/2006
- Last Update Date: 03/02/2015
Medicare PECOS Information:
- PECOS PAC ID: 0143239582
- Enrollment ID: I20060413000205
Medical Identifiers
Medical identifiers for Kenneth M Leavitt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386672343 | NPI | - | NPPES |
350273 | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | 1680 (Massachusetts) | Secondary |
213E00000X | Podiatrist | 1680 (Massachusetts) | Primary |
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. Kenneth M 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 |
Kenneth M Leavitt, DPM 67 Millbrook St., C/o Chm, Worcester, MA 01606-2835 Ph: (508) 795-0009 | Kenneth M Leavitt, DPM 125 Parker Hill Ave, Ste 390, Boston, MA 02120-2847 Ph: (617) 277-3800 |
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