| Dr Michelle Jo Leathers, MD | |
|
325 W Walnut St, Lebanon, KY 40033-1377 | |
| (270) 699-9500 | |
| (270) 699-9550 |
| Full Name | Dr Michelle Jo Leathers |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 325 W Walnut St, Lebanon, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093797185 | NPI | - | NPPES |
| 64064041 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 37700 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intrepid Usa Healthcare Services | Elizabethtown, KY | Home health agency |
| Hosparus, Inc | Louisville, KY | Hospice |
| Spring View Hospital | Lebanon, KY | Hospital |
| Taylor Regional Hospital | Campbellsville, KY | Hospital |
| Flaget Memorial Hospital | Bardstown, KY | Hospital |
| The Village Of Lebanon Ii, Llc | Lebanon, KY | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vmd Primary Providers Central Kentucky | 6709119068 | 28 |
| Family And Internal Medicine Associates Pllc | 9335051002 | 10 |
| Entity Name | Family & Internal Medicine Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780682609 PECOS PAC ID: 9335051002 Enrollment ID: O20040302000589 |
| Entity Name | Vmd Primary Providers Central Kentucky |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831674654 PECOS PAC ID: 6709119068 Enrollment ID: O20190531002182 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michelle Jo Leathers, MD 325 W Walnut St, Lebanon, KY 40033-1377 Ph: (270) 699-9126 | Dr Michelle Jo Leathers, MD 325 W Walnut St, Lebanon, KY 40033-1377 Ph: (270) 699-9500 |
Kelly Renee Deatley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 W Walnut St Ste 600, Lebanon, KY 40033 Phone: 270-699-9500 Fax: 270-699-9550 | |
Dr. Brian Fraser Scott, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 325 W Walnut St, Lebanon, KY 40033 Phone: 270-699-9500 Fax: 270-699-9550 | |
Dr. Richard Vaughn Steeves, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 325 W Walnut St, Lebanon, KY 40033 Phone: 270-699-9500 Fax: 270-699-9550 |