Kevin Leal, DO in Matthews, NC - Medicare Pediatrics

Kevin Leal, DO is a medicare enrolled "Pediatrics" physician in Matthews, North Carolina. His current practice location is 332 N Trade St # 1500, Matthews, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 512-6820.

Kevin Leal is licensed to practice in Virginia (license number 0102207110) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003377144.

Contact Information

	Kevin Leal, DO
	332 N Trade St # 1500, Matthews, NC 28105-1728
	(704) 512-6820
	Not Available

Map and Direction

Physician's Profile

Full Name	Kevin Leal
Gender	Male
Speciality	Pediatrics
Location	332 N Trade St # 1500, Matthews, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003377144
Provider Enumeration Date: 03/29/2019
Last Update Date: 09/11/2024

Medicare PECOS Information:

PECOS PAC ID: 7618202813
Enrollment ID: I20240709003127

Medical Identifiers

Medical identifiers for Kevin Leal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003377144	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	0102207110 (Virginia)	Primary

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. Kevin Leal allows following entities to bill medicare on his behalf.

Entity Name	Tidalhealth Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619504735 PECOS PAC ID: 7113340845 Enrollment ID: O20200714000286

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. Kevin Leal 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
Kevin Leal, DO 332 N Trade St # 1500, Matthews, NC 28105-1728 Ph: () -	Kevin Leal, DO 332 N Trade St # 1500, Matthews, NC 28105-1728 Ph: (704) 512-6820

Reviews and Comments

Pediatrics Doctors in Matthews, NC

Blaire Marie Williams Smith, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 201 E Matthews St Ste 100, Matthews, NC 28105 Phone: 704-847-0572 Fax: 704-849-9760
Dr. Meredith Calcina Davitte, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 Matthews Township Pkwy Ste 100, Matthews, NC 28105 Phone: 704-384-1080
Dr. Hala Ahmed Elhemaily, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 E Matthews St, Matthews, NC 28105 Phone: 704-847-0572 Fax: 704-844-2068
Courtney Gregg Self, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 201 E Matthews St Ste 100, Matthews, NC 28105 Phone: 704-847-0572 Fax: 704-849-9760
Dr. Latonya Danielle Griffin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 Matthews Township Pkwy, Suite 320, Matthews, NC 28105 Phone: 704-316-3145 Fax: 704-316-3146
Dr. Varsha Laxman Pherwani, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 201 E Matthews St, Matthews, NC 28105 Phone: 704-847-0572 Fax: 704-847-9760

Kevin Leal, DO - Medicare Pediatrics in Matthews, NC