Ms Kathleen Dolores Van Leeuwen, MD - Medicare Surgery in Phoenix, AZ

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Ms Kathleen Dolores Van Leeuwen, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Phoenix, Arizona. Her current practice location is 1919 E Thomas Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 933-0016.

Ms Kathleen Dolores Van Leeuwen is licensed to practice in Arizona (license number 34139) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003818642.

Contact Information

Ms Kathleen Dolores Van Leeuwen, MD
1919 E Thomas Rd,
Phoenix, AZ 85016-7710
(602) 933-0016
(602) 933-4309

Map and Direction




Physician's Profile

Full NameMs Kathleen Dolores Van Leeuwen
GenderFemale
SpecialitySurgery - Pediatric Surgery
Location1919 E Thomas Rd, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003818642
  • Provider Enumeration Date: 08/12/2005
  • Last Update Date: 03/29/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4385641745
  • Enrollment ID: I20061026000475

Medical Identifiers

Medical identifiers for Ms Kathleen Dolores Van Leeuwen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003818642NPI-NPPES
940610MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0120XSurgery - Pediatric Surgery 34139 (Arizona)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. Ms Kathleen Dolores Van Leeuwen allows following entities to bill medicare on her behalf.
Entity NamePhoenix Children's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922112044
PECOS PAC ID: 0446278584
Enrollment ID: O20051107000704
Entity NameDistrict Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336472448
PECOS PAC ID: 7315086691
Enrollment ID: O20091125000583

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. Ms Kathleen Dolores Van Leeuwen 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
Ms Kathleen Dolores Van Leeuwen, MD
3200 E Camelback Rd Ste 250,
Phoenix, AZ 85018-2327

Ph: (602) 933-1814		Ms Kathleen Dolores Van Leeuwen, MD
1919 E Thomas Rd,
Phoenix, AZ 85016-7710

Ph: (602) 933-0016

Reviews and Comments


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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.

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