Kent G Leavitt Md Pllc is a medicare enrolled "Ophthalmology" provider in Bellevue, Washington. Their current practice location is
1135 116th Ave Ne Ste 450, Bellevue, Washington. You can reach out to their office (for appointments etc.) via phone at
(425) 450-6990.
Kent G Leavitt Md Pllc is licensed to practice in Washington (license number MD00028489) and it also participates in the medicare program. Kent G Leavitt Md Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1073709325.
Healthcare Provider's Profile
| Full Name | Kent G Leavitt Md Pllc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 1135 116th Ave Ne Ste 450, Bellevue, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073709325
- Provider Enumeration Date: 09/20/2007
- Last Update Date: 03/11/2014
Medicare PECOS Information:
- PECOS PAC ID: 5799870622
- Enrollment ID: O20071005000802
Medical Identifiers
Medical identifiers for Kent G Leavitt Md Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073709325 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 00003925 (Washington) | Secondary |
| 207W00000X | Ophthalmology | MD00028489 (Washington) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Kent G Leavitt Md Pllc acts as a billing entity for following providers:
| Provider Name | Kent G Leavitt |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1528062320
PECOS PAC ID: 4486749850
Enrollment ID: I20070929000091 |
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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. Kent G Leavitt Md Pllc 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 |
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Kent G Leavitt Md Pllc
1135 116th Ave Ne Ste 450,
Bellevue, WA 98004-4623
Ph: (425) 450-6990 | Kent G Leavitt Md Pllc
1135 116th Ave Ne Ste 450,
Bellevue, WA 98004-4623
Ph: (425) 450-6990 |
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