| Crystal Ivahna Leach, MD | |
|
17351 Melford Blvd, Bowie, MD 20715-4457 | |
| (240) 548-1300 | |
| (240) 548-1695 |
| Full Name | Crystal Ivahna Leach |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 11 Years |
| Location | 17351 Melford Blvd, Bowie, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891115994 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phoebe Putney Memorial Hospital | Albany, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoebe Physician Group Inc | 8426112350 | 375 |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Entity Name | Roosevelt Warm Springs Rehabilitation & Specialty Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760892657 PECOS PAC ID: 8820217706 Enrollment ID: O20150708001997 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Ivahna Leach, MD 14640 Governor Sprigg Pl, Upper Marlboro, MD 20772-5910 Ph: (504) 915-3461 | Crystal Ivahna Leach, MD 17351 Melford Blvd, Bowie, MD 20715-4457 Ph: (240) 548-1300 |
Daniel Reid, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 17351 Melford Blvd, Bowie, MD 20715 Phone: 240-548-1300 | |
Reza Salman Roghani, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 17351 Melford Blvd, Bowie, MD 20715 Phone: 872-231-3162 | |
Vivek Raj, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 17351 Melford Blvd, Bowie, MD 20715 Phone: 240-548-1300 | |
Nicholette M. Martin, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 4000 Mitchellville Rd, Suite B322, Bowie, MD 20716 Phone: 301-860-0305 Fax: 301-860-0307 | |
Dr. Danielle Monique Simpson, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 17351 Melford Blvd, Bowie, MD 20715 Phone: 240-548-1300 |