Dr Leiv M Takle Jr, MD in Griffin, GA - Medicare Ophthalmology

Dr Leiv M Takle Jr, MD is a medicare enrolled "Ophthalmology" physician in Griffin, Georgia. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Leiv M Takle Md Pc and his current practice location is 646 S 8th St, Griffin, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 228-3836.

Dr Leiv M Takle Jr is licensed to practice in Georgia (license number 057850) 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 1609807445.

Contact Information

	Dr Leiv M Takle Jr, MD
	646 S 8th St, Griffin, GA 30224-4214
	(770) 228-3836
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Leiv M Takle Jr
Gender	Male
Speciality	Ophthalmology
Experience	22 Years
Location	646 S 8th St, Griffin, 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 Leiv M Takle Jr graduated from medical school in 2002

NPI Data:

NPI Number: 1609807445
Provider Enumeration Date: 07/06/2006
Last Update Date: 04/24/2017

Medicare PECOS Information:

PECOS PAC ID: 7719990134
Enrollment ID: I20060801000022

Medical Identifiers

Medical identifiers for Dr Leiv M Takle Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609807445	NPI	-	NPPES
180697446C	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	057850 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Leiv M Takle Md Pc	2062400286	3

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 Leiv M Takle Jr allows following entities to bill medicare on his behalf.

Entity Name	Leiv M Takle Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568665404 PECOS PAC ID: 2062400286 Enrollment ID: O20040505000509

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 Leiv M Takle Jr 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 Leiv M Takle Jr, MD 646 S 8th St, Griffin, GA 30224-4214 Ph: (770) 228-3836	Dr Leiv M Takle Jr, MD 646 S 8th St, Griffin, GA 30224-4214 Ph: (770) 228-3836

Reviews and Comments

Ophthalmology Doctors in Griffin, GA

Dr. Leiv Munlaug Takle, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 646 S 8th St, Griffin, GA 30224 Phone: 770-228-3836 Fax: 770-412-1733
Dr. Andrew David Coggin, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 646 S 8th St, Griffin, GA 30224 Phone: 770-228-3836 Fax: 770-412-1733
Arpita Kadakia Bhasin, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 415 S 8th St, Griffin, GA 30224 Phone: 678-590-1238

Dr Leiv M Takle Jr, MD - Medicare Ophthalmology in Griffin, GA