Dr Keith C Leatherbury, MD - Medicare General Surgery in Fremont, NE

Dr Keith C Leatherbury, MD is a medicare enrolled "Surgery" physician in Fremont, Nebraska. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Physicians Clinic Inc and his current practice location is 2830 N Clarkson St, Fremont, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 721-6333.

Dr Keith C Leatherbury is licensed to practice in Nebraska (license number 18655) 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 1780682153.

Contact Information

Dr Keith C Leatherbury, MD
2830 N Clarkson St,
Fremont, NE 68025-7718
(402) 721-6333
(402) 721-6320



Physician's Profile

Full NameDr Keith C Leatherbury
GenderMale
SpecialityGeneral Surgery
Experience37 Years
Location2830 N Clarkson St, Fremont, Nebraska
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:
  • Dr Keith C Leatherbury graduated from medical school in 1987
  NPI Data:
  • NPI Number: 1780682153
  • Provider Enumeration Date: 07/11/2005
  • Last Update Date: 09/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6002903531
  • Enrollment ID: I20100716000015

Medical Identifiers

Medical identifiers for Dr Keith C Leatherbury such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780682153NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 18655 (Nebraska)Primary
174400000XSpecialist 18655 (Nebraska)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Methodist Fremont HealthFremont, NEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physicians Clinic Inc4880506062497

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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 Keith C Leatherbury allows following entities to bill medicare on his behalf.
Entity NamePhysicians Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821049156
PECOS PAC ID: 4880506062
Enrollment ID: O20031105000345

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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 Keith C Leatherbury 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
Dr Keith C Leatherbury, MD
2830 N Clarkson St,
Fremont, NE 68025-7718

Ph: (402) 721-6333
Dr Keith C Leatherbury, MD
2830 N Clarkson St,
Fremont, NE 68025-7718

Ph: (402) 721-6333

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Surgery Doctors in Fremont, NE

Christopher Gartin, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2830 N Clarkson St, Fremont, NE 68025
Phone: 402-721-6333    Fax: 402-721-6320

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