Dr Edward Leon, MD - Medicare Emergency Medicine in Decatur, IL

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Dr Edward Leon, MD is a medicare enrolled "Emergency Medicine" physician in Decatur, Illinois. He went to Pennsylvania State University College Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Epss Llc - Central Series, Kennekuk Emergency Physicians Llc, Midwest Emergency Department Specialists Ltd, Shemauger Emergency Physicians Llc, Clarksville Emergency Group, Pc and his current practice location is 2300 N Edward St, Emergency Dept, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 876-3000.

Dr Edward Leon is licensed to practice in Illinois (license number 0361409383) 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 1164496865.

Contact Information

Dr Edward Leon, MD
2300 N Edward St, Emergency Dept,
Decatur, IL 62526-4163
(217) 876-3000
Not Available

Map and Direction




Physician's Profile

Full NameDr Edward Leon
GenderMale
SpecialityEmergency Medicine
Experience25 Years
Location2300 N Edward St, Decatur, Illinois
Accepts Medicare AssignmentsYes. 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 Edward Leon attended and graduated from Pennsylvania State University College Of Medicine in 1999
  NPI Data:
  • NPI Number: 1164496865
  • Provider Enumeration Date: 02/17/2006
  • Last Update Date: 11/17/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6406826767
  • Enrollment ID: I20100928000735

Medical Identifiers

Medical identifiers for Dr Edward Leon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164496865NPI-NPPES
036109383001MedicaidIL
IL0181OtherJOHN DEERE ILLINOIS
036109383OtherBCILLINOIS
225150OtherIHS
P00053389OtherRR MEDICARE
1582965MedicaidIA
93334OtherBCWELLMARK 7TH
93378OtherBCWELLMARK WEST

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 0361409383 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Decatur Memorial HospitalDecatur, ILHospital
Franciscan Health CrawfordsvilleCrawfordsville, INHospital
Osf Heart Of Mary Medical CenterUrbana, ILHospital
Osf Sacred Heart Medical CenterDanville, ILHospital
Pekin Memorial HospitalPekin, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Epss Llc - Central Series620419201628
Kennekuk Emergency Physicians Llc024439573915
Midwest Emergency Department Specialists Ltd519362772749
Shemauger Emergency Physicians Llc589085914411
Clarksville Emergency Group, Pc6507277423124

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 Edward Leon allows following entities to bill medicare on his behalf.
Entity NameMidwest Emergency Department Specialists Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245263367
PECOS PAC ID: 5193627727
Enrollment ID: O20040123000845
Entity NameShemauger Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992957021
PECOS PAC ID: 5890859144
Enrollment ID: O20090130000471
Entity NameKennekuk Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659523777
PECOS PAC ID: 0244395739
Enrollment ID: O20090217000467
Entity NameEpss Peoria Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831421056
PECOS PAC ID: 1850587007
Enrollment ID: O20101130000569
Entity NameEpss Llc - East Series
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841533882
PECOS PAC ID: 8729213459
Enrollment ID: O20140213001518
Entity NameEpss Llc - Central Series
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538680467
PECOS PAC ID: 6204192016
Enrollment ID: O20171110002604
Entity NameEpss North Region Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194282707
PECOS PAC ID: 0345582474
Enrollment ID: O20190422000388

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 Edward Leon 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 Edward Leon, MD
2300 N Edward St, Emergency Dept,
Decatur, IL 62526-4163

Ph: (217) 876-3000		Dr Edward Leon, MD
2300 N Edward St, Emergency Dept,
Decatur, IL 62526-4163

Ph: (217) 876-3000

Reviews and Comments


Emergency Medicine Doctors in Decatur, IL

Gabriel Munoz, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2300 N Edward St, Decatur, IL 62526
Phone: 217-876-3000    
Gerald A Snyder, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2300 N Edward St, Decatur, IL 62526
Phone: 217-876-3000    
Terry Balagna, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2300 N Edward St, Decatur, IL 62526
Phone: 217-876-3000    
Phillip Barnell, M.D., FAAFP
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521
Phone: 217-464-2966    
Koleen Barnell, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521
Phone: 217-464-2966    
Jose Reyes, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521
Phone: 217-464-2966    

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.