| Dr Jonathan Leake, MD | |
|
201 E Grover St, Shelby, NC 28150-3917 | |
| (980) 487-3131 | |
| Not Available |
| Full Name | Dr Jonathan Leake |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 20 Years |
| Location | 201 E Grover St, Shelby, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740310259 | NPI | - | NPPES |
| 5910332 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 127380 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Caldwell Memorial Hospital | Lenoir, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Caldwell Emergency Medical Associates Llc | 0648207639 | 20 |
| Lake Norman Emergency Medical Associates Llc | 5496927972 | 10 |
| Entity Name | Caldwell Emergency Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023074580 PECOS PAC ID: 0648207639 Enrollment ID: O20050721000176 |
| Entity Name | Lake Norman Emergency Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053690560 PECOS PAC ID: 5496927972 Enrollment ID: O20111005000200 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Leake, MD 819 Spruce St, Charlotte, NC 28203-4332 Ph: (704) 340-8290 | Dr Jonathan Leake, MD 201 E Grover St, Shelby, NC 28150-3917 Ph: (980) 487-3131 |
Dr. Paul Munoz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 E Grover St, Shelby, NC 28150 Phone: 919-477-5152 Fax: 919-477-5474 | |
Ivan Orlando Sanchez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 E Grover St, Shelby, NC 28150 Phone: 704-480-1087 Fax: 704-480-1150 | |
Dr. Matthew Edwin Dean, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 E Grover St, Shelby, NC 28150 Phone: 980-487-3000 | |
Dr. Ryan Christopher Matley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 E Grover St, Shelby, NC 28150 Phone: 980-487-3131 | |
Dr. Bruce Flitt, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 E Grover St, Shelby, NC 28150 Phone: 704-810-0376 Fax: 704-810-0376 | |
Richard K Hughlett, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 E Grover St, Shelby, NC 28150 Phone: 704-487-3131 |