Dr Samuel Leaf, DO in Green Bay, WI - Medicare Emergency Medicine

Dr Samuel Leaf, DO is a medicare enrolled "Emergency Medicine" physician in Green Bay, Wisconsin. His current practice location is 835 S Van Buren St, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 433-0111.

Dr Samuel Leaf is licensed to practice in Michigan (license number 5101020957) 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 1295155596.

Contact Information

	Dr Samuel Leaf, DO
	835 S Van Buren St, Green Bay, WI 54301-3526
	(920) 433-0111
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Samuel Leaf
Gender	Male
Speciality	Emergency Medicine
Location	835 S Van Buren St, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295155596
Provider Enumeration Date: 04/24/2014
Last Update Date: 02/12/2024

Medicare PECOS Information:

PECOS PAC ID: 7618298712
Enrollment ID: I20170925000350

Medical Identifiers

Medical identifiers for Dr Samuel Leaf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295155596	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	68361-21 (Wisconsin)	Secondary
207P00000X	Emergency Medicine	5101020957 (Michigan)	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. Dr Samuel Leaf allows following entities to bill medicare on his behalf.

Entity Name	Degara App Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265976971 PECOS PAC ID: 7618251398 Enrollment ID: O20170223001941

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. Dr Samuel Leaf 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
Dr Samuel Leaf, DO 835 S Van Buren St, Green Bay, WI 54301-3526 Ph: (810) 606-5000	Dr Samuel Leaf, DO 835 S Van Buren St, Green Bay, WI 54301-3526 Ph: (920) 433-0111

Reviews and Comments

Emergency Medicine Doctors in Green Bay, WI

Katie Lynn Lloyd, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067
Darren M Heesacker, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067
Steven J Stroman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067
Edward C Vogel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067
Dr. David Franklin Edwards, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3263 Eaton Rd, Green Bay, WI 54311 Phone: 920-433-6000 Fax: 920-433-6009
Dr. David Alan Sorrentino, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067
Dr. Ryan Thomas Murphy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067

Dr Samuel Leaf, DO - Medicare Emergency Medicine in Green Bay, WI