Leasa Ann Burch, is a
Licensed Practical Nurse based in Colonie, New York. Leasa Ann Burch is licensed to practice in New York (license number 354144) and her current practice location is
159 Wolf Rd, Colonie, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 437-0152.
NPI number for Leasa Ann Burch is 1114894912 and her current mailing address is 399 Ontario St Fl 1, Albany, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114894912.
Provider's Profile
| Full Name | Leasa Ann Burch |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 159 Wolf Rd, Colonie, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114894912
- Provider Enumeration Date: 10/17/2025
- Last Update Date: 10/17/2025
Medical Identifiers
Medical identifiers for Leasa Ann Burch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114894912 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 354144 (New York) | Primary |
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. Leasa Ann Burch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Leasa Ann Burch,
399 Ontario St Fl 1,
Albany, NY 12208-2909
Ph: (518) 930-3717 | Leasa Ann Burch,
159 Wolf Rd,
Colonie, NY 12205-6007
Ph: (518) 437-0152 |
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