Kalum Leiba, CAA is a medicare enrolled "Anesthesiologist Assistant" in Canton, Georgia. His current practice location is
450 Northside Cherokee Blvd, Canton, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 224-1000.
Kalum Leiba is licensed to practice in Georgia (license number ) 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 1336751494.
Provider's Profile
| Full Name | Kalum Leiba |
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| Gender | Male |
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| Speciality | Anesthesiologist Assistant |
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| Location | 450 Northside Cherokee Blvd, Canton, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336751494
- Provider Enumeration Date: 08/20/2020
- Last Update Date: 08/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 1951711092
- Enrollment ID: I20201102000455
Medical Identifiers
Medical identifiers for Kalum Leiba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336751494 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367H00000X | Anesthesiologist Assistant | (Georgia) | 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. Kalum Leiba allows following entities to bill medicare on his behalf.
| Entity Name | North Atlanta Anesthesia Professionals, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982349296
PECOS PAC ID: 5496134348
Enrollment ID: O20220623000371 |
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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. Kalum Leiba 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 |
|---|
Kalum Leiba, CAA
4708 Ardmore Ln,
Hoschton, GA 30548-6227
Ph: (404) 563-2645 | Kalum Leiba, CAA
450 Northside Cherokee Blvd,
Canton, GA 30115-8015
Ph: (770) 224-1000 |
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