Ms Kathleen Dolores Van Leeuwen, MD - Medicare Surgery in Phoenix, AZ

Ms Kathleen Dolores Van Leeuwen, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Phoenix, Arizona. Her current practice location is 1919 E Thomas Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 933-0016.

Ms Kathleen Dolores Van Leeuwen is licensed to practice in Arizona (license number 34139) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003818642.

Contact Information

Ms Kathleen Dolores Van Leeuwen, MD
1919 E Thomas Rd,
Phoenix, AZ 85016-7710
(602) 933-0016
(602) 933-4309



Physician's Profile

Full NameMs Kathleen Dolores Van Leeuwen
GenderFemale
SpecialitySurgery - Pediatric Surgery
Location1919 E Thomas Rd, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003818642
  • Provider Enumeration Date: 08/12/2005
  • Last Update Date: 03/29/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4385641745
  • Enrollment ID: I20061026000475

Medical Identifiers

Medical identifiers for Ms Kathleen Dolores Van Leeuwen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003818642NPI-NPPES
940610MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0120XSurgery - Pediatric Surgery 34139 (Arizona)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. Ms Kathleen Dolores Van Leeuwen allows following entities to bill medicare on her behalf.
Entity NamePhoenix Children's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922112044
PECOS PAC ID: 0446278584
Enrollment ID: O20051107000704

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Entity NameDistrict Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336472448
PECOS PAC ID: 7315086691
Enrollment ID: O20091125000583

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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. Ms Kathleen Dolores Van Leeuwen 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
Ms Kathleen Dolores Van Leeuwen, MD
3200 E Camelback Rd Ste 250,
Phoenix, AZ 85018-2327

Ph: (602) 933-1814
Ms Kathleen Dolores Van Leeuwen, MD
1919 E Thomas Rd,
Phoenix, AZ 85016-7710

Ph: (602) 933-0016

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Surgery Doctors in Phoenix, AZ

Dr. Michael J Stumpf, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 20940 N. Tatum Blvd. Ste #350, Phoenix, AZ 85050
Phone: 844-436-7874    Fax: 877-828-6834
Dr. Owen Thomas Mccabe, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008
Phone: 602-344-5011    
Charles E Castillo, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2320 N 3rd St, Phoenix, AZ 85004
Phone: 602-340-0201    Fax: 602-340-0367
Dr. Jeromy Brink, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 6040 N 7th St Ste 105, Phoenix, AZ 85014
Phone: 602-277-7430    Fax: 602-279-5333
Gaby A P Iskander, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008
Phone: 602-344-5011    
Yafei Ouyang, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 1441 N 12th St Fl 1, Phoenix, AZ 85006
Phone: 602-521-5981    

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