| Emma Leatham, PA-C | |
|
156 West Ave, Brockport, NY 14420-1229 | |
| (585) 758-7557 | |
| (525) 637-5626 |
| Full Name | Emma Leatham |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 156 West Ave, Brockport, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043769326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA15983 (Texas) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 020181 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kelsey-seybold Medical Group, Pllc | 9739093527 | 941 |
| Entity Name | Kelsey-seybold Medical Group, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013915255 PECOS PAC ID: 9739093527 Enrollment ID: O20031117000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Emma Leatham, PA-C 11511 Shadow Creek Pkwy, Pearland, TX 77584-7298 Ph: (713) 442-0000 | Emma Leatham, PA-C 156 West Ave, Brockport, NY 14420-1229 Ph: (585) 758-7557 |
Kelly Jean Halvonik, RPAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Interlakes Oncology & Hematology Pc, 156 West Ave., Brockport, NY 14420 Phone: 585-395-0124 Fax: 585-395-0127 |
Josiah James Surbatovich, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 170 West Ave, Brockport, NY 14420 Phone: 585-395-6052 Fax: 585-395-6007 |
Catherine Goetz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 West Ave, Brockport, NY 14420 Phone: 585-637-3905 Fax: 585-637-4990 |
Catherine M. Benjamin, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 156 West Ave Fl 3, Brockport, NY 14420 Phone: 585-276-7874 |
Theofanis Kalathas, M.D. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 156 West Ave Fl 2, Brockport, NY 14420 Phone: 585-758-7557 Fax: 585-637-5626 |
Timothy Rawcliffe, Physician Assistant Medicare: Medicare Enrolled Practice Location: 156 West Ave, Brockport, NY 14420 Phone: 585-473-3516 |
Peter J. Simone, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 156 West Ave, Brockport, NY 14420 Phone: 585-637-3131 Fax: 585-395-6036 |