Kinnard J Leatham, MD - Medicare General Surgery in Wilkes Barre, PA

Kinnard J Leatham, MD is a medicare enrolled "Surgery" physician in Wilkes Barre, Pennsylvania. He went to Albany Medical College Of Union University and graduated in 1992 and has 32 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Penn State Health Community Medical Group Llc and his current practice location is 545 N River St, #130, Wilkes Barre, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 552-2760.

Kinnard J Leatham is licensed to practice in Pennsylvania (license number MD418397) 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 1780630392.

Contact Information

Kinnard J Leatham, MD
545 N River St, #130,
Wilkes Barre, PA 18702-2600
(570) 552-2760
(570) 552-2765

Map and Direction




Physician's Profile

Full NameKinnard J Leatham
GenderMale
SpecialityGeneral Surgery
Experience32 Years
Location545 N River St, Wilkes Barre, Pennsylvania
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:
  • Kinnard J Leatham attended and graduated from Albany Medical College Of Union University in 1992
  NPI Data:
  • NPI Number: 1780630392
  • Provider Enumeration Date: 05/25/2006
  • Last Update Date: 12/05/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6002709235
  • Enrollment ID: I20040203000522

Medical Identifiers

Medical identifiers for Kinnard J Leatham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780630392NPI-NPPES
0039381MedicaidNJ
1087117OtherNJAETNA
0018088940006MedicaidPA
2404983000OtherNJAMERIHEALTH
P3624813OtherNJOXFORD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MA079207 (New Jersey)Secondary
2086S0102XSurgery - Surgical Critical Care MA076933 (New Jersey)Secondary
208600000XSurgery MD418397 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Holy Spirit HospitalCamp hill, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Penn State Health Community Medical Group Llc8729351077637

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. Kinnard J Leatham allows following entities to bill medicare on his behalf.
Entity NameSpirit Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093013328
PECOS PAC ID: 8022922202
Enrollment ID: O20040402000053
Entity NameCommonwealth Physician Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003238635
PECOS PAC ID: 2668696592
Enrollment ID: O20140617000549
Entity NamePenn State Health Community Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861988644
PECOS PAC ID: 8729351077
Enrollment ID: O20170907002279

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. Kinnard J Leatham 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
Kinnard J Leatham, MD
545 N River St, #130,
Wilkes Barre, PA 18702-2600

Ph: (570) 552-2760
Kinnard J Leatham, MD
545 N River St, #130,
Wilkes Barre, PA 18702-2600

Ph: (570) 552-2760

Reviews and Comments


Surgery Doctors in Wilkes Barre, PA

Dr. Joseph John Ridilla, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 476 E Northampton St, Wilkes Barre, PA 18702
Phone: 570-825-4460    Fax: 570-825-6140
Brian E Klock, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-808-2340    Fax: 570-808-7904
Dr. Tanner Andrew Long, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-808-2340    Fax: 570-808-7904
Dr. Joseph Martin Lopez Jr., M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-808-2340    Fax: 570-808-7904
Dr. Ryan Christopher Rusnok, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-808-2340    Fax: 570-808-7904
Dr. Kiron Kumar Somasekharan Nair, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1111 E End Blvd, Va Medical Center - Department Of Surgery, Wilkes Barre, PA 18711
Phone: 570-824-3521    
Dr. Dharamraj Nirmul, MBCHB, FACS
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1111 E End Blvd, Wilkes Barre, PA 18711
Phone: 570-824-3521    Fax: 570-819-5133

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.