Kinnard J Leatham, MD in Wilkes Barre, PA

Kinnard J Leatham, MD is a medicare enrolled "Surgery" physician in Wilkes Barre, Pennsylvania. He went to Albany Medical College Of Union University and graduated in 1992 and has 32 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Penn State Health Community Medical Group Llc and his current practice location is 545 N River St, #130, Wilkes Barre, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 552-2760.

Kinnard J Leatham is licensed to practice in Pennsylvania (license number MD418397) 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 1780630392.

Contact Information

	Kinnard J Leatham, MD
	545 N River St, #130, Wilkes Barre, PA 18702-2600
	(570) 552-2760
	(570) 552-2765

Map and Direction

Physician's Profile

Full Name	Kinnard J Leatham
Gender	Male
Speciality	General Surgery
Experience	32 Years
Location	545 N River St, Wilkes Barre, Pennsylvania
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:

Kinnard J Leatham attended and graduated from Albany Medical College Of Union University in 1992

NPI Data:

NPI Number: 1780630392
Provider Enumeration Date: 05/25/2006
Last Update Date: 12/05/2016

Medicare PECOS Information:

PECOS PAC ID: 6002709235
Enrollment ID: I20040203000522

Medical Identifiers

Medical identifiers for Kinnard J Leatham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780630392	NPI	-	NPPES
0039381	Medicaid	NJ
1087117	Other	NJ	AETNA
0018088940006	Medicaid	PA
2404983000	Other	NJ	AMERIHEALTH
P3624813	Other	NJ	OXFORD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MA079207 (New Jersey)	Secondary
2086S0102X	Surgery - Surgical Critical Care	MA076933 (New Jersey)	Secondary
208600000X	Surgery	MD418397 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Holy Spirit Hospital	Camp hill, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Penn State Health Community Medical Group Llc	8729351077	657

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. Kinnard J Leatham allows following entities to bill medicare on his behalf.

Entity Name	Spirit Physician Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093013328 PECOS PAC ID: 8022922202 Enrollment ID: O20040402000053

Entity Name	Penn State Health Community Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279

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. Kinnard J Leatham 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
Kinnard J Leatham, MD 545 N River St, #130, Wilkes Barre, PA 18702-2600 Ph: (570) 552-2760	Kinnard J Leatham, MD 545 N River St, #130, Wilkes Barre, PA 18702-2600 Ph: (570) 552-2760

Reviews and Comments

Surgery Doctors in Wilkes Barre, PA

Dr. Joseph John Ridilla, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 476 E Northampton St, Wilkes Barre, PA 18702 Phone: 570-825-4460 Fax: 570-825-6140
Brian E Klock, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-2340 Fax: 570-808-7904
Dr. Tanner Andrew Long, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-2340 Fax: 570-808-7904
Dr. Joseph Martin Lopez Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-2340 Fax: 570-808-7904
Dr. Ryan Christopher Rusnok, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-2340 Fax: 570-808-7904
Dr. Kiron Kumar Somasekharan Nair, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1111 E End Blvd, Va Medical Center - Department Of Surgery, Wilkes Barre, PA 18711 Phone: 570-824-3521
Dr. Dharamraj Nirmul, MBCHB, FACS Surgery Medicare: Not Enrolled in Medicare Practice Location: 1111 E End Blvd, Wilkes Barre, PA 18711 Phone: 570-824-3521 Fax: 570-819-5133

Kinnard J Leatham, MD - Medicare General Surgery in Wilkes Barre, PA