Crystal Ivahna Leach, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Bowie, Maryland. She went to Louisiana State University School Of Medicine In New Orleans and graduated in 2014 and has 10 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice Lifepoint Rehab Physician Services Llc and her current practice location is
17351 Melford Blvd, Bowie, Maryland. You can reach out to her office (for appointments etc.) via phone at
(240) 548-1300.
Crystal Ivahna Leach is licensed to practice in Maryland (license number D0085741) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891115994.
Physician's Profile
Full Name | Crystal Ivahna Leach |
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Gender | Female |
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Speciality | Physical Medicine And Rehabilitation |
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Experience | 10 Years |
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Location | 17351 Melford Blvd, Bowie, Maryland |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Crystal Ivahna Leach attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2014
NPI Data:
- NPI Number: 1891115994
- Provider Enumeration Date: 04/16/2014
- Last Update Date: 05/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 9234485939
- Enrollment ID: I20230802004362
Medical Identifiers
Medical identifiers for Crystal Ivahna Leach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891115994 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | M-17056 (Idaho) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 95216 (Georgia) | Secondary |
208100000X | Physical Medicine & Rehabilitation | MD046990 (District Of Columbia) | Secondary |
208100000X | Physical Medicine & Rehabilitation | D0085741 (Maryland) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Lifepoint Rehab Physician Services Llc | 3678932043 | 3 |
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. Crystal Ivahna Leach allows following entities to bill medicare on her behalf.
Entity Name | Lifepoint Rehab Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598492522 PECOS PAC ID: 3678932043 Enrollment ID: O20230703000479 |
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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. Crystal Ivahna 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 |
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 |
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