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

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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 35 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Ich Er Services Llc, 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 NameDr Keith Edwin Leap Ii
GenderMale
SpecialityEmergency Medicine
Experience35 Years
Location743 Spring St Ne, Gainesville, Georgia
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 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: I20120213000258

Medical Identifiers

Medical identifiers for Dr Keith Edwin Leap Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003884503NPI-NPPES
NCR321AOtherNCMEDICARE PTAN
NCR321BOtherNCMEDICARE PTAN
NCR486A194OtherNCMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 2015-00392 (North Carolina)Secondary
207P00000XEmergency Medicine 31330 (West Virginia)Secondary
207PE0004XEmergency Medicine - Emergency Medical Services 16953 (South Carolina)Secondary
207P00000XEmergency Medicine 073593 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Princeton Community HospitalPrinceton, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ich Er Services Llc286074433116
Princeton Community Hospital Assn. Inc.3678482221153

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 NameHampton Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487651949
PECOS PAC ID: 0941107296
Enrollment ID: O20031216000246
Entity NameCannon Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497744254
PECOS PAC ID: 8123930666
Enrollment ID: O20040115000729
Entity NameHilton Head Emergency Physicians, Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326047176
PECOS PAC ID: 4688665235
Enrollment ID: O20040521000446
Entity NameAcs Primary Care Physicians - Southeast Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861430555
PECOS PAC ID: 5193620714
Enrollment ID: O20090401000270
Entity NameIch Er Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174002059
PECOS PAC ID: 2860744331
Enrollment ID: O20181010003402

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 AddressPractice 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

Jacob Leedekerken,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-219-1200    
Dr. Sharani Umayangani Jayaratne, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-219-1200    
Dr. Philippe Gadegbeku, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
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    

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.