Dr Lawrence A Leake, MD - Medicare Family Medicine in Pascagoula, MS

Dr Lawrence A Leake, MD is a medicare enrolled "Family Medicine" physician in Pascagoula, Mississippi. His current practice location is 2809 Denny Ave, Pascagoula, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 809-5000.

Dr Lawrence A Leake is licensed to practice in Mississippi (license number 13594) 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 1124179767.

Contact Information

Dr Lawrence A Leake, MD
2809 Denny Ave,
Pascagoula, MS 39581-5301
(228) 809-5000
Not Available



Physician's Profile

Full NameDr Lawrence A Leake
GenderMale
SpecialityFamily Medicine
Location2809 Denny Ave, Pascagoula, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124179767
  • Provider Enumeration Date: 01/12/2007
  • Last Update Date: 01/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5395829980
  • Enrollment ID: I20110315000023

Medical Identifiers

Medical identifiers for Dr Lawrence A Leake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124179767NPI-NPPES
009926475MedicaidAL
646000515OtherTRICARE
00112590MedicaidMS
646000515OtherBLUE CROSS OF MS
930026898OtherRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MS13594 (Mississippi)Secondary
207Q00000XFamily Medicine 13594 (Mississippi)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 Lawrence A Leake allows following entities to bill medicare on his behalf.
Entity NameSinging River Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083893937
PECOS PAC ID: 3870405194
Enrollment ID: O20031104000435

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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 Lawrence A Leake 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 Lawrence A Leake, MD
2101 Highway 90,
Gautier, MS 39553-5340

Ph: () -
Dr Lawrence A Leake, MD
2809 Denny Ave,
Pascagoula, MS 39581-5301

Ph: (228) 809-5000

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Family Medicine Doctors in Pascagoula, MS

Dr. Kevin Scott Cooper, MD,MPH
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4305 Denny Ave, Pascagoula, MS 39581
Phone: 228-762-2044    Fax: 228-762-2064
Matthew Bosarge, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2819 Denny Ave, Pascagoula, MS 39581
Phone: 228-762-3466    Fax: 228-762-6349
Dr. Sheila Dillard, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2809 Denny Ave, Pascagoula, MS 39581
Phone: 228-588-2938    
Dr. Gary H. Groff, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2819 Denny Ave., Pascagoula, MS 39581
Phone: 228-762-3466    Fax: 228-762-6349
Dr. Martin Bydalek, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2819 Denny Ave, Pascagoula, MS 39581
Phone: 228-762-3466    
Dr. Teresa A Williamson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2819 Denny Ave., Pascagoula, MS 39581
Phone: 228-762-3466    Fax: 228-762-6349
Dr. Vernon W Doster, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3616 Hospital Street, Suite D, Pascagoula, MS 39581
Phone: 228-762-8187    Fax: 228-762-6934

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