Michael A Leatherwood, MD in Waldorf, MD - Medicare Internal Medicine

Michael A Leatherwood, MD is a medicare enrolled "Internal Medicine" physician in Waldorf, Maryland. His current practice location is 12070 Old Line Ctr, Suite 302, Waldorf, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 645-6667.

Michael A Leatherwood is licensed to practice in Maryland (license number D0021031) 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 1497747349.

Contact Information

	Michael A Leatherwood, MD
	12070 Old Line Ctr, Suite 302, Waldorf, MD 20602-2513
	(301) 645-6667
	(301) 870-9722

Map and Direction

Physician's Profile

Full Name	Michael A Leatherwood
Gender	Male
Speciality	Internal Medicine
Location	12070 Old Line Ctr, Waldorf, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497747349
Provider Enumeration Date: 08/17/2005
Last Update Date: 04/10/2008

Medicare PECOS Information:

PECOS PAC ID: 9032196662
Enrollment ID: I20100921001418

Medical Identifiers

Medical identifiers for Michael A Leatherwood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497747349	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	D0021031 (Maryland)	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. Michael A Leatherwood allows following entities to bill medicare on his behalf.

Entity Name	Pace & Leatherwood, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912975277 PECOS PAC ID: 6901883776 Enrollment ID: O20040630000873

Entity Name	Privia Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040

Entity Name	Privia Care Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164874426 PECOS PAC ID: 3274801139 Enrollment ID: O20170619000055

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. Michael A Leatherwood 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
Michael A Leatherwood, MD Po Box 249, Waldorf, MD 20604-0249 Ph: (301) 645-6667	Michael A Leatherwood, MD 12070 Old Line Ctr, Suite 302, Waldorf, MD 20602-2513 Ph: (301) 645-6667

Reviews and Comments

Internal Medicine Doctors in Waldorf, MD

Dr. Sailaja Nandipati, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 Old Washington Rd, Suite 202, Waldorf, MD 20602 Phone: 301-843-2223 Fax: 301-843-2355
Dr. Zafar Abulhasan Ansari, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Post Office Rd Ste E, Waldorf, MD 20602 Phone: 301-396-4800
Ms. Tulani Washington Plaskett, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 12070 Old Line Ctr Ste 303, Waldorf, MD 20602 Phone: 301-645-5100
Firas Al Sammarrai, M.B.CH.B. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Saint Patricks Dr, Waldorf, MD 20603 Phone: 301-373-7900 Fax: 301-373-6900
Dr. Alex Ryzhikov, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Saint Patricks Dr, Waldorf, MD 20603 Phone: 301-705-7870 Fax: 301-705-7628
Dr. Betty Siu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3510 Old Washington Rd, Suite #100, Waldorf, MD 20602 Phone: 301-609-5200 Fax: 301-609-5220
Dr. Lorenzo Childress Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2855 Crain Hwy, Waldorf, MD 20601 Phone: 240-427-1926 Fax: 240-427-1927

Michael A Leatherwood, MD - Medicare Internal Medicine in Waldorf, MD