Letisha E Leach, FNP-BC, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Baltimore, Ohio. Her current practice location is
12124 Roesta Ln Nw, Baltimore, Ohio. You can reach out to her office (for appointments etc.) via phone at
(614) 300-7977.
Letisha E Leach is licensed to practice in Ohio (license number APRN.CNP.10824) 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 1063656239.
Provider's Profile
| Full Name | Letisha E Leach |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
|---|
| Location | 12124 Roesta Ln Nw, Baltimore, Ohio |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1063656239
- Provider Enumeration Date: 05/01/2009
- Last Update Date: 06/24/2026
Medicare PECOS Information:
- PECOS PAC ID: 0648316067
- Enrollment ID: I20091014000820
Medical Identifiers
Medical identifiers for Letisha E Leach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063656239 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.10824 (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.10824 (Ohio) | 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. Letisha E Leach allows following entities to bill medicare on her behalf.
| Entity Name | Southwestern Recovery Center, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1295241933
PECOS PAC ID: 5294095956
Enrollment ID: O20180129001817 |
|---|
| Entity Name | Columbus Suboxone Doctors Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1760940696
PECOS PAC ID: 8921341256
Enrollment ID: O20190529002893 |
|---|
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. Letisha E 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 |
|---|
Letisha E Leach, FNP-BC, PMHNP-BC
12124 Roesta Ln Nw,
Baltimore, OH 43105-9200
Ph: (614) 300-7977 | Letisha E Leach, FNP-BC, PMHNP-BC
12124 Roesta Ln Nw,
Baltimore, OH 43105-9200
Ph: (614) 300-7977 |
Reviews and Comments