Kevin T Le Roy, CFNP is a medicare enrolled "Nurse Practitioner" physician in Oswego, New York. His current practice location is
110 W 6th St, Oswego, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 349-5511.
Kevin T Le Roy is licensed to practice in New York (license number 335967) 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 1316175052.
Physician's Profile
| Full Name | Kevin T Le Roy |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Location | 110 W 6th St, Oswego, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316175052
- Provider Enumeration Date: 07/01/2009
- Last Update Date: 04/09/2012
Medicare PECOS Information:
- PECOS PAC ID: 5890840979
- Enrollment ID: I20090826000553
Medical Identifiers
Medical identifiers for Kevin T Le Roy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316175052 | NPI | - | NPPES |
| 03133180 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 335967 (New York) | Secondary |
| 363L00000X | Nurse Practitioner | 335967 (New York) | 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 T Le Roy allows following entities to bill medicare on his behalf.
| Entity Name | St Joseph's Physician Health Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154376770
PECOS PAC ID: 9436041431
Enrollment ID: O20040325001159 |
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| Entity Name | Oswego Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871678458
PECOS PAC ID: 4981686045
Enrollment ID: O20040602001275 |
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| Entity Name | Port City Emergency Physicians Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134370547
PECOS PAC ID: 0345301917
Enrollment ID: O20081202000420 |
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| Entity Name | St Josephs Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942501747
PECOS PAC ID: 4688855844
Enrollment ID: O20110221000744 |
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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 T Le Roy 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 T Le Roy, CFNP
5100 W Taft Rd, Suite 1c,
Liverpool, NY 13088-3807
Ph: (315) 452-2333 | Kevin T Le Roy, CFNP
110 W 6th St,
Oswego, NY 13126-2507
Ph: (315) 349-5511 |
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