Dr Samantha Luci Leonard-ndomb, MD - Medicare General Surgery in Moose Lake, MN

  1. Home
  2. Surgery
  3. MN
  4. Moose Lake
Dr Samantha Luci Leonard-ndomb, MD is a medicare enrolled "Surgery" physician in Moose Lake, Minnesota. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Essentia Health Moose Lake and her current practice location is 4572 County Road 61, Moose Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 485-2015.

Dr Samantha Luci Leonard-ndomb is licensed to practice in Michigan (license number 4301105657) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689016354.

Contact Information

Dr Samantha Luci Leonard-ndomb, MD
4572 County Road 61,
Moose Lake, MN 55767-9401
(218) 485-2015
Not Available

Map and Direction




Physician's Profile

Full NameDr Samantha Luci Leonard-ndomb
GenderFemale
SpecialityGeneral Surgery
Experience11 Years
Location4572 County Road 61, Moose Lake, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Samantha Luci Leonard-ndomb graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1689016354
  • Provider Enumeration Date: 07/23/2013
  • Last Update Date: 04/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7517183452
  • Enrollment ID: I20230607003212

Medical Identifiers

Medical identifiers for Dr Samantha Luci Leonard-ndomb such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689016354NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 4301105657 (Michigan)Primary
208600000XSurgery 61823 (Minnesota)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Essentia Health Moose LakeMoose lake, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Essentia Health Moose Lake66082903338

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. Dr Samantha Luci Leonard-ndomb allows following entities to bill medicare on her behalf.
Entity NameThe Duluth Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902563638
PECOS PAC ID: 2567374283
Enrollment ID: O20031103000229
Entity NamePine Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326041633
PECOS PAC ID: 3870406945
Enrollment ID: O20031106000272
Entity NameEssentia Health Moose Lake
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154959880
PECOS PAC ID: 6608290333
Enrollment ID: O20200730001548

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. Dr Samantha Luci Leonard-ndomb 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 AddressPractice Location Address
Dr Samantha Luci Leonard-ndomb, MD
400 E 3rd St,
Duluth, MN 55805-1951

Ph: (218) 786-8364		Dr Samantha Luci Leonard-ndomb, MD
4572 County Road 61,
Moose Lake, MN 55767-9401

Ph: (218) 485-2015

Reviews and Comments


Surgery Doctors in Moose Lake, MN

Dr. Sharon Elaine Gossett, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4570 Cty. Hwy. 61, Moose Lake, MN 55767
Phone: 218-485-4491    Fax: 218-485-4724
Dr. James J. Ryan, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4572 County Road 61, Moose Lake, MN 55767
Phone: 218-485-2105    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.