| Kevin Luke Leadholm, MD | |
|
363 Highland Ave, Fall River, MA 02720-3703 | |
| (508) 973-5425 | |
| (508) 973-7146 |
| Full Name | Kevin Luke Leadholm |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 11 Years |
| Location | 363 Highland Ave, Fall River, Massachusetts |
| 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 |
|---|---|---|---|
| 1124445069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 269868 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emerson Hospital - | W concord, MA | Hospital |
| Southcoast Hospitals Group | Fall river, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southcoast Physicians Group Inc | 0749171957 | 789 |
| Emerson Practice Associates Ii, Inc | 4183765191 | 40 |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
| Entity Name | Southcoast Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
| Entity Name | Emerson Practice Associates Ii, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427383645 PECOS PAC ID: 4183765191 Enrollment ID: O20100112000561 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Luke Leadholm, MD 200 Mill Rd, Fairhaven, MA 02719-5252 Ph: (508) 973-2000 | Kevin Luke Leadholm, MD 363 Highland Ave, Fall River, MA 02720-3703 Ph: (508) 973-5425 |
Andrea R Stewart, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 363 Highland Avenue, Fall River, MA 02720 Phone: 508-679-3131 Fax: 508-679-7146 | |
Christopher C Stowe, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 795 Middle St, Fall River, MA 02721 Phone: 508-235-5258 Fax: 508-675-5671 | |
Dr. Henry Korzeniowski Jr., D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 795 Middle Street, Fall River, MA 02721 Phone: 508-674-5600 Fax: 508-675-5671 | |
Larry F Thiesen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 363 Highland Ave, Fall River, MA 02720 Phone: 508-973-7558 Fax: 508-973-7147 | |
Geeta R Trivedi, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 272 Stanley St, Fall River, MA 02720 Phone: 508-672-2290 Fax: 508-674-8419 | |
Dr. Ashley Pimenta-mcdonald, DNAP, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 363 Highland Ave, Fall River, MA 02720 Phone: 508-679-3131 | |
Nancy J Poblador, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 363 Highland Avenue, Fall River, MA 02720 Phone: 508-679-3131 Fax: 508-679-7146 |