| Keith James Leavell, MD | |
|
1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303-2735 | |
| (320) 252-5131 | |
| (320) 240-2118 |
| Full Name | Keith James Leavell |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 38 Years |
| Location | 1200 6th Ave N, Saint Cloud, Minnesota |
| 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 |
|---|---|---|---|
| 1184606311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 34628 (Minnesota) | Primary |
| 207RS0012X | Internal Medicine - Sleep Medicine | 34628 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centracare - St. Cloud Hospital | Saint cloud, MN | Hospital |
| Centracare - Redwood | Redwood falls, MN | Hospital |
| Alomere Health | Alexandria, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Clinic | 2466363395 | 800 |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Entity Name | Mille Lacs Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548212699 PECOS PAC ID: 4789577834 Enrollment ID: O20040204000052 |
| Entity Name | St Cloud Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith James Leavell, MD 1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303-2735 Ph: (320) 252-5131 | Keith James Leavell, MD 1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303-2735 Ph: (320) 252-5131 |
Bradley E Currier, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303 Phone: 320-240-2205 Fax: 320-229-5174 |
Bharath Manu Akkara Veetil, MBBS Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 |
Dr. Andrew Phin France, DO Pulmonary Disease Medicare: May Accept Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 |
Kamiab Delfanian, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1900 Centracare Cir, Suite 2400, Saint Cloud, MN 56303 Phone: 320-229-5099 Fax: 320-229-5171 |
Jyh-yau Tsaur, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 |
John D Olsen, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2118 |
Mark J Martone, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2118 |