Tyler Leake, in Williamsburg, VA - Medicare Social Worker Provider

Tyler Leake, is a medicare enrolled "Social Worker - Clinical" provider in Williamsburg, Virginia. His current practice location is 1657 Merrimac Trl, Williamsburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 220-3200.

Tyler Leake is licensed to practice in Virginia (license number 0904012462) 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 1194327817.

Contact Information

	Tyler Leake,
	1657 Merrimac Trl, Williamsburg, VA 23185-5624
	(757) 220-3200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Leake
Gender	Male
Speciality	Social Worker - Clinical
Location	1657 Merrimac Trl, Williamsburg, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194327817
Provider Enumeration Date: 11/09/2020
Last Update Date: 11/09/2020

Medicare PECOS Information:

PECOS PAC ID: 0042748279
Enrollment ID: I20250115001766

Medical Identifiers

Medical identifiers for Tyler Leake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194327817	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904012462 (Virginia)	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. Tyler Leake allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514

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. Tyler 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 Address	Practice Location Address
Tyler Leake, 1657 Merrimac Trl, Williamsburg, VA 23185-5624 Ph: () -	Tyler Leake, 1657 Merrimac Trl, Williamsburg, VA 23185-5624 Ph: (757) 220-3200

Reviews and Comments

Social Worker in Williamsburg, VA

Ms. Crystal G Perkins, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 921 Capitol Landing Rd, Williamsburg, VA 23185 Phone: 757-253-4074
Marilyn Rork, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1657 Merrimac Trl, Williamsburg, VA 23185 Phone: 757-220-3200 Fax: 757-253-4371
Ms. Sarah Mcneely Byrne, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1769 Jamestown Rd, Williamsburg, VA 23185 Phone: 757-784-8940
Philisha Woodard, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1117 Old Colony Ln Ste A, Williamsburg, VA 23185 Phone: 757-204-5928
Lauren Dickey Faisant, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1657 Merrimac Trl, Williamsburg, VA 23185 Phone: 757-220-3200
Brenda Janine Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3955 Strawberry Plains Rd, Williamsburg, VA 23188 Phone: 757-912-1842
Lisa Marie Cassidy, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1315 Jamestown Rd Ste 203, Williamsburg, VA 23185 Phone: 757-603-4603 Fax: 757-257-9146

Tyler Leake, - Medicare Clinical Social Worker in Williamsburg, VA