Kenneth Tyler Leaphart, PA-C is a medicare enrolled "Physician Assistant" physician in Greensboro, North Carolina. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Wake Forest University Health Sciences and his current practice location is
1200 N Elm St, Greensboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 207-7005.
Kenneth Tyler Leaphart is licensed to practice in North Carolina (license number 0010-07324) 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 1699295543.
Physician's Profile
| Full Name | Kenneth Tyler Leaphart |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 7 Years |
|---|
| Location | 1200 N Elm St, Greensboro, 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:
- Kenneth Tyler Leaphart graduated from medical school in 2017
NPI Data:
- NPI Number: 1699295543
- Provider Enumeration Date: 06/21/2017
- Last Update Date: 07/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 1153694393
- Enrollment ID: I20170908002891
Medical Identifiers
Medical identifiers for Kenneth Tyler Leaphart such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699295543 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 001007324 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 0010-07324 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wake Forest University Health Sciences | 4486564952 | 2048 |
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 Tyler Leaphart 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 Tyler Leaphart, PA-C
123 Piedmont Ave Apt D,
Winston Salem, NC 27101-3667
Ph: (803) 760-0859 | Kenneth Tyler Leaphart, PA-C
1200 N Elm St,
Greensboro, NC 27401-1004
Ph: (336) 207-7005 |
Reviews and Comments