Kevin Luke Leadholm, MD in Fall River, MA

Kevin Luke Leadholm, MD is a medicare enrolled "Anesthesiology" physician in Fall River, Massachusetts. His current practice location is 363 Highland Ave, Fall River, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 973-5425.

Kevin Luke Leadholm is licensed to practice in Massachusetts (license number 269868) 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 1124445069.

Contact Information

	Kevin Luke Leadholm, MD
	363 Highland Ave, Fall River, MA 02720-3703
	(508) 973-5425
	(508) 973-7146

Map and Direction

Physician's Profile

Full Name	Kevin Luke Leadholm
Gender	Male
Speciality	Anesthesiology
Location	363 Highland Ave, Fall River, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124445069
Provider Enumeration Date: 03/27/2014
Last Update Date: 07/24/2024

Medicare PECOS Information:

PECOS PAC ID: 6305148222
Enrollment ID: I20170731000062

Medical Identifiers

Medical identifiers for Kevin Luke Leadholm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124445069	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	269868 (Massachusetts)	Primary

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. Kevin Luke Leadholm allows following entities to bill medicare on his behalf.

Entity Name	Lahey Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269

Entity Name	Southcoast Physicians Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138

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. Kevin Luke Leadholm 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
Kevin Luke Leadholm, MD 200 Mill Rd, Fairhaven, MA 02719-5252 Ph: (508) 973-2000	Kevin Luke Leadholm, MD 363 Highland Ave, Fall River, MA 02720-3703 Ph: (508) 973-5425

Reviews and Comments

Anesthesiology Doctors in Fall River, MA

Andrea R Stewart, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 363 Highland Avenue, Fall River, MA 02720 Phone: 508-679-3131 Fax: 508-679-7146
Christopher C Stowe, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 795 Middle St, Fall River, MA 02721 Phone: 508-235-5258 Fax: 508-675-5671
Dr. Henry Korzeniowski Jr., D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 795 Middle Street, Fall River, MA 02721 Phone: 508-674-5600 Fax: 508-675-5671
Larry F Thiesen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 363 Highland Ave, Fall River, MA 02720 Phone: 508-973-7558 Fax: 508-973-7147
Geeta R Trivedi, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 272 Stanley St, Fall River, MA 02720 Phone: 508-672-2290 Fax: 508-674-8419
Nancy J Poblador, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 363 Highland Avenue, Fall River, MA 02720 Phone: 508-679-3131 Fax: 508-679-7146
Onsi A. Rizk, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 363 Highland Avenue, Fall River, MA 02720 Phone: 508-679-3131 Fax: 508-679-7146

Kevin Luke Leadholm, MD - Medicare Anesthesiology in Fall River, MA