| Leia M Medlock, MD | |
|
300 Main St, Laurel, MD 20707-4114 | |
| (240) 554-5505 | |
| (240) 280-7472 |
| Full Name | Leia M Medlock |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 18 Years |
| Location | 300 Main St, Laurel, 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 |
|---|---|---|---|
| 1659531077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MT193601 (Pennsylvania) | Secondary |
| 207V00000X | Obstetrics & Gynecology | D0074550 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Healthcare White Oak Medical Center | Silver spring, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group, Llc | 4385682061 | 1264 |
| Entity Name | Dimensions Healthcare Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346354834 PECOS PAC ID: 1557269743 Enrollment ID: O20031226000032 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
| Entity Name | Simmonds Martin & Helmbrecht Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558411934 PECOS PAC ID: 7012985492 Enrollment ID: O20041104000319 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
| Entity Name | Pediatrix Medical Group Of The Mid-atlantic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205859691 PECOS PAC ID: 9739102765 Enrollment ID: O20060117000344 |
| Mailing Address | Practice Location Address |
|---|---|
| Leia M Medlock, MD 8630m Guilford Rd, Ste 288, Columbia, MD 21046-1404 Ph: (301) 414-2300 | Leia M Medlock, MD 300 Main St, Laurel, MD 20707-4114 Ph: (240) 554-5505 |
Ms. Kalavati J Dave, M.D Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 8303 Cherry Ln, Laurel, MD 20707 Phone: 301-490-7616 Fax: 301-490-4061 | |
Dr. Rufus Rosser Jr., M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9811 Mallard Dr, Suite 115, Laurel, MD 20708 Phone: 301-498-2103 Fax: 301-498-2106 |