Martin Leboutillier Iii, MD - Medicare Thoracic Surgery in Lebanon, PA

Martin Leboutillier Iii, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Lebanon, Pennsylvania. He went to Columbia University College Of Physicians And Surgeons and graduated in 1990 and has 34 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Wellspan Medical Group and his current practice location is Fourth & Walnut Sts, 2nd Fl, Lebanon, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 270-3751.

Martin Leboutillier Iii is licensed to practice in Pennsylvania (license number MD065743L) 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 1831152651.

Contact Information

Martin Leboutillier Iii, MD
Fourth & Walnut Sts, 2nd Fl,
Lebanon, PA 17042-1281
(717) 270-3751
(717) 270-3754



Physician's Profile

Full NameMartin Leboutillier Iii
GenderMale
SpecialityThoracic Surgery
Experience34 Years
LocationFourth & Walnut Sts, Lebanon, Pennsylvania
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:
  • Martin Leboutillier Iii attended and graduated from Columbia University College Of Physicians And Surgeons in 1990
  NPI Data:
  • NPI Number: 1831152651
  • Provider Enumeration Date: 04/11/2006
  • Last Update Date: 07/20/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6002712866
  • Enrollment ID: I20031211000445

Medical Identifiers

Medical identifiers for Martin Leboutillier Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831152651NPI-NPPES
058255700MedicaidMD
001708549MedicaidPA
30139141OtherPAAMERIHEALTH MERCY-WMG
976216OtherPAHIGHMARK BLUE SHIELD
1511587OtherPAGATEWAY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) MD065743L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellspan Vna Home CareYork, PAHome health agency
Good Samaritan HospitalLebanon, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellspan Medical Group19512131151946

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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. Martin Leboutillier Iii allows following entities to bill medicare on his behalf.
Entity NameWellspan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750480299
PECOS PAC ID: 1951213115
Enrollment ID: O20040220000815

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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. Martin Leboutillier Iii 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
Martin Leboutillier Iii, MD
Fourth & Walnut Sts, 2nd Fl,
Lebanon, PA 17042-1281

Ph: (717) 270-3751
Martin Leboutillier Iii, MD
Fourth & Walnut Sts, 2nd Fl,
Lebanon, PA 17042-1281

Ph: (717) 270-3751

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Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Lebanon, PA

Savas Mavridis, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 252 S 4th St Fl 2, Lebanon, PA 17042
Phone: 717-270-3751    Fax: 717-270-3751
Dr. Mohammad Bashar Yousuf, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 252 S 4th St Fl 2, Lebanon, PA 17042
Phone: 717-270-3751    Fax: 717-270-3754
Dr. Mark Allan Osevala, D.O.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 252 S 4th St Fl 2, Lebanon, PA 17042
Phone: 717-270-3751    Fax: 717-270-3754
Dr. David John Cohen, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 252 S 4th St Fl 2, Lebanon, PA 17042
Phone: 717-270-3751    Fax: 717-270-3754

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