Mark Jonathon Leach, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Palm Beach Gardens, Florida. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Aqua Dermatology Of Florida, Pa and his current practice location is
600 Village Square Xing, Palm Beach Gardens, Florida. You can reach out to his office (for appointments etc.) via phone at
(561) 694-9493.
Mark Jonathon Leach is licensed to practice in Florida (license number PA9101548) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699720763.
Physician's Profile
| Full Name | Mark Jonathon Leach |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 24 Years |
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| Location | 600 Village Square Xing, Palm Beach Gardens, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mark Jonathon Leach graduated from medical school in 2000
NPI Data:
- NPI Number: 1699720763
- Provider Enumeration Date: 05/24/2006
- Last Update Date: 08/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 4486849593
- Enrollment ID: I20101115001334
Medical Identifiers
Medical identifiers for Mark Jonathon Leach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699720763 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | PA9101548 (Florida) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA9101548 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Aqua Dermatology Of Florida, Pa | 1153390414 | 159 |
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. Mark Jonathon 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 |
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Mark Jonathon Leach, PA-C
600 Village Square Xing,
Palm Beach Gardens, FL 33410-4542
Ph: (561) 694-9493 | Mark Jonathon Leach, PA-C
600 Village Square Xing,
Palm Beach Gardens, FL 33410-4542
Ph: (561) 694-9493 |
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