Jacob Leedekerken, - Medicare Emergency Medicine in Charlotte, NC

Jacob Leedekerken, is a medicare enrolled "Emergency Medicine" physician in Charlotte, North Carolina. He went to George Washington University School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Georgia Emergency Department Services, P.c. and his current practice location is 1000 Blythe Blvd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 355-3181.

Jacob Leedekerken is licensed to practice in North Carolina (license number 238485) 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 1003312067.

Contact Information

Jacob Leedekerken,
1000 Blythe Blvd,
Charlotte, NC 28203-5812
(704) 355-3181
Not Available



Physician's Profile

Full NameJacob Leedekerken
GenderMale
SpecialityEmergency Medicine
Experience6 Years
Location1000 Blythe Blvd, Charlotte, North Carolina
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:
  • Jacob Leedekerken attended and graduated from George Washington University School Of Medicine in 2018
  NPI Data:
  • NPI Number: 1003312067
  • Provider Enumeration Date: 03/30/2018
  • Last Update Date: 04/03/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4486901816
  • Enrollment ID: I20210714000693

Medical Identifiers

Medical identifiers for Jacob Leedekerken such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003312067NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 238485 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northeast Georgia Medical Center, IncGainesville, GAHospital
Barrow Regional Medical CenterWinder, GAHospital
Northeast Georgia Medical Center LumpkinDahlonega, GAHospital
Habersham County Medical CtrDemorest, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Georgia Emergency Department Services, P.c.559775103256

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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. Jacob Leedekerken allows following entities to bill medicare on his behalf.
Entity NameGeorgia Emergency Department Services, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508886912
PECOS PAC ID: 5597751032
Enrollment ID: O20040517001016

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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. Jacob Leedekerken 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
Jacob Leedekerken,
813 12th St Ne,
Washington, DC 20002-4435

Ph: (770) 598-9580
Jacob Leedekerken,
1000 Blythe Blvd,
Charlotte, NC 28203-5812

Ph: (704) 355-3181

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Emergency Medicine Doctors in Charlotte, NC

Chelsea Kolshak,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-3658    
Neha Ray, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-3181    Fax: 704-355-7047
John B Clark Jr., M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Randolph Rd, Ste 900, Charlotte, NC 28207
Phone: 704-377-2424    Fax: 704-377-2687
Nilesh K. Patel, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-2171    
Michael Stephen Merrill, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211
Phone: 704-377-2424    Fax: 704-377-2687
Brian Zachary Hedges, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Blythe Blvd., Cmc/department Of Emergency Medicine, Charlotte, NC 28203
Phone: 704-355-3181    Fax: 704-355-7047

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