Michael David Leach, PA is a
Physician Assistant based in Gaineville, Florida. Michael David Leach is licensed to practice in Florida (license number PA9103759) and his current practice location is
6716 Nw 11th Place, Ste 200, Gaineville, Florida. He can be reached at his office (for appointments etc.) via phone at
(352) 331-9729.
NPI number for Michael David Leach is 1992818504 and his current mailing address is 6716 Nw 11th Place, Ste 200, Gaineville, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992818504.
Provider's Profile
| Full Name | Michael David Leach |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 6716 Nw 11th Place, Gaineville, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992818504
- Provider Enumeration Date: 08/16/2006
- Last Update Date: 10/27/2016
Medical Identifiers
Medical identifiers for Michael David Leach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992818504 | NPI | - | NPPES |
| Y04QN | Other | FL | BCBS FL |
| 002619000 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA9103759 (Florida) | 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. Michael David Leach 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 |
|---|
Michael David Leach, PA
6716 Nw 11th Place, Ste 200,
Gaineville, FL 32605-4215
Ph: (352) 331-9729 | Michael David Leach, PA
6716 Nw 11th Place, Ste 200,
Gaineville, FL 32605-4215
Ph: (352) 331-9729 |
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