Lori A Leaseburge, MD in Jacksonville, FL - Medicare Obstetrics/gynecology

Lori A Leaseburge, MD is a medicare enrolled "Obstetrics & Gynecology - Obstetrics" physician in Jacksonville, Florida. She went to Jc Edwards School Of Medicine, Marshall University and graduated in 1997 and has 29 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Cleveland W. Randolph Jr Md,pa and her current practice location is 1891 Beach Blvd, Suite 200, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 249-3743.

Lori A Leaseburge is licensed to practice in Florida (license number ME93918) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275628455.

Contact Information

	Lori A Leaseburge, MD
	1891 Beach Blvd, Suite 200, Jacksonville, FL 32250-2644
	(904) 249-3743
	(904) 249-2047

Map and Direction

Physician's Profile

Full Name	Lori A Leaseburge
Gender	Female
Speciality	Obstetrics/gynecology
Experience	29 Years
Location	1891 Beach Blvd, Jacksonville, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lori A Leaseburge attended and graduated from Jc Edwards School Of Medicine, Marshall University in 1997

NPI Data:

NPI Number: 1275628455
Provider Enumeration Date: 10/04/2006
Last Update Date: 11/01/2011

Medicare PECOS Information:

PECOS PAC ID: 7214965979
Enrollment ID: I20050924000054

Medical Identifiers

Medical identifiers for Lori A Leaseburge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275628455	NPI	-	NPPES
273607100	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207VX0000X	Obstetrics & Gynecology - Obstetrics	ME93918 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Medical Center Beaches	Jacksonville beach, FL	Hospital
Baptist Health Medical Center - Jacksonville	Jacksonville, FL	Hospital
Flagler Hospital	Saint augustine, FL	Hospital
Baptist Medical Center - Nassau	Fernandina beach, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cleveland W. Randolph Jr Md,pa	5496749004	7

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. Lori A Leaseburge allows following entities to bill medicare on her behalf.

Entity Name	Cleveland W. Randolph Jr Md,pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497808182 PECOS PAC ID: 5496749004 Enrollment ID: O20040414001013

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. Lori A Leaseburge 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
Lori A Leaseburge, MD 1891 Beach Blvd, Suite 200, Jacksonville, FL 32250-2644 Ph: (904) 249-3743	Lori A Leaseburge, MD 1891 Beach Blvd, Suite 200, Jacksonville, FL 32250-2644 Ph: (904) 249-3743

Reviews and Comments

Obstetrics & Gynecology Doctors in Jacksonville, FL

Frank E Trogolo, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 14540 Old Saint Augustine Rd Ste 2391, Jacksonville, FL 32258 Phone: 904-647-6946 Fax: 844-473-3117
Fernando Miguel Fernandez, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 14540 Old Saint Augustine Rd Ste 2391, Jacksonville, FL 32258 Phone: 904-268-5300 Fax: 904-268-5040
Kayla Bagwell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11945 San Jose Blvd, Jacksonville, FL 32223 Phone: 904-262-5333
Dr. Judy Bowers, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3625 University Blvd S, Jacksonville, FL 32216 Phone: 904-702-6850
Dr. Joann G Acuna, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1800, Jacksonville, FL 32207 Phone: 904-398-7684 Fax: 904-398-4998
Dr. Autumn Gabrielle Prieto, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-383-1037 Fax: 904-244-4059
Ina Jani, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1301 Palm Ave Ste 700, Jacksonville, FL 32207 Phone: 904-202-7300 Fax: 904-202-2754

Lori A Leaseburge, MD - Medicare Obstetrics/gynecology in Jacksonville, FL