Mrs Breonna Leon, NP is a medicare enrolled "Nurse Practitioner" physician in Dunwoody, Georgia. Her current practice location is
4598 Barclay Dr, Dunwoody, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 796-5069.
Mrs Breonna Leon is licensed to practice in Georgia (license number RN244563) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225508542.
Physician's Profile
| Full Name | Mrs Breonna Leon |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 4598 Barclay Dr, Dunwoody, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225508542
- Provider Enumeration Date: 11/29/2018
- Last Update Date: 11/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 7911245204
- Enrollment ID: I20190212001433
Medical Identifiers
Medical identifiers for Mrs Breonna Leon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225508542 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | 2023087293 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | RN244563 (Georgia) | 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. Mrs Breonna Leon allows following entities to bill medicare on her behalf.
| Entity Name | Lifesource Of North Carolina |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962940817
PECOS PAC ID: 7416132428
Enrollment ID: O20170418000863 |
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| Entity Name | R And E Health Care,llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427512276
PECOS PAC ID: 3577980788
Enrollment ID: O20200902003116 |
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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. Mrs Breonna Leon 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 |
|---|
Mrs Breonna Leon, NP
4598 Barclay Dr,
Dunwoody, GA 30338-5883
Ph: (770) 796-5069 | Mrs Breonna Leon, NP
4598 Barclay Dr,
Dunwoody, GA 30338-5883
Ph: (770) 796-5069 |
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