Ms Donna M Leach, AUD is a medicare enrolled "Audiologist" provider in Smyrna, Georgia. Her current practice location is
2430 Atlanta Rd Se Ste 100, Smyrna, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 425-1095.
Ms Donna M Leach is licensed to practice in Georgia (license number 001542) 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 1003813791.
Healthcare Provider's Profile
| Full Name | Ms Donna M Leach |
|---|
| Gender | Female |
|---|
| Speciality | Audiologist |
|---|
| Location | 2430 Atlanta Rd Se Ste 100, Smyrna, Georgia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1003813791
- Provider Enumeration Date: 07/07/2005
- Last Update Date: 07/18/2018
Medicare PECOS Information:
- PECOS PAC ID: 8426004482
- Enrollment ID: I20111209000444
Medical Identifiers
Medical identifiers for Ms Donna M Leach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003813791 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 001542 (Georgia) | 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 Donna M Leach allows following entities to bill medicare on her behalf.
| Provider Name | Privia Medical Group Of Georgia Llc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1013313857
PECOS PAC ID: 4284951542
Enrollment ID: O20150325000983 |
|---|
| Provider Name | Lifestyle Hearing Corporation Usa Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1316338346
PECOS PAC ID: 6901106707
Enrollment ID: O20160526000886 |
|---|
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 Donna M Leach 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 Address | Practice Location Address |
|---|
Ms Donna M Leach, AUD
2430 Atlanta Rd, Suite 100,
Smyrna, GA 30080
Ph: (770) 425-1095 | Ms Donna M Leach, AUD
2430 Atlanta Rd Se Ste 100,
Smyrna, GA 30080
Ph: (770) 425-1095 |
Reviews and Comments