Dr Keith Edwin Leap Ii, MD in Gainesville, GA

Dr Keith Edwin Leap Ii, MD is a medicare enrolled "Emergency Medicine" physician in Gainesville, Georgia. He went to West Virginia University School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Princeton Community Hospital Assn. Inc. and his current practice location is 743 Spring St Ne, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (786) 357-9327.

Dr Keith Edwin Leap Ii is licensed to practice in Georgia (license number 073593) 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 1003884503.

Contact Information

	Dr Keith Edwin Leap Ii, MD
	743 Spring St Ne, Gainesville, GA 30501-3715
	(786) 357-9327
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Keith Edwin Leap Ii
Gender	Male
Speciality	Emergency Medicine
Experience	34 Years
Location	743 Spring St Ne, Gainesville, Georgia
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:

Dr Keith Edwin Leap Ii attended and graduated from West Virginia University School Of Medicine in 1990

NPI Data:

NPI Number: 1003884503
Provider Enumeration Date: 03/09/2006
Last Update Date: 02/14/2024

Medicare PECOS Information:

PECOS PAC ID: 1658538053
Enrollment ID: I20231005001914

Medical Identifiers

Medical identifiers for Dr Keith Edwin Leap Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003884503	NPI	-	NPPES
NCR321A	Other	NC	MEDICARE PTAN
NCR321B	Other	NC	MEDICARE PTAN
NCR486A194	Other	NC	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	2015-00392 (North Carolina)	Secondary
207P00000X	Emergency Medicine	31330 (West Virginia)	Secondary
207PE0004X	Emergency Medicine - Emergency Medical Services	16953 (South Carolina)	Secondary
207P00000X	Emergency Medicine	073593 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Princeton Community Hospital	Princeton, WV	Hospital
Roane General Hospital	Spencer, WV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Princeton Community Hospital Assn. Inc.	3678482221	133

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 Keith Edwin Leap Ii allows following entities to bill medicare on his behalf.

Entity Name	Princeton Community Hospital Assn. Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093917643 PECOS PAC ID: 3678482221 Enrollment ID: O20031211000436

Entity Name	Hospital Development Co.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790745677 PECOS PAC ID: 4183527476 Enrollment ID: O20040406000528

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 Keith Edwin Leap Ii 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
Dr Keith Edwin Leap Ii, MD Po Box 602373, Charlotte, NC 28260-2373 Ph: (828) 526-1280	Dr Keith Edwin Leap Ii, MD 743 Spring St Ne, Gainesville, GA 30501-3715 Ph: (786) 357-9327

Reviews and Comments

Emergency Medicine Doctors in Gainesville, GA

Dr. Philippe Gadegbeku, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-536-2146 Fax: 770-536-7895
Dr. George Houlditch, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-536-2146
Heather Holstein, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000
Jason Sanghwa Oh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000
William E Davis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-536-2146 Fax: 770-536-7895
Dr. Gary Kempler, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-536-2146 Fax: 770-536-7895

Dr Keith Edwin Leap Ii, MD - Medicare Emergency Medicine in Gainesville, GA