Jacqueline Monique Parks Leach, in Gastonia, NC

Jacqueline Monique Parks Leach, is a medicare enrolled "Counselor - Professional" provider in Gastonia, North Carolina. Her current practice location is 419 S York St, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 865-8722.

Jacqueline Monique Parks Leach is licensed to practice in North Carolina (license number A14757) 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 1558824888.

Contact Information

	Jacqueline Monique Parks Leach,
	419 S York St, Gastonia, NC 28052-4035
	(704) 865-8722
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Monique Parks Leach
Gender	Female
Speciality	Counselor - Professional
Location	419 S York St, Gastonia, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558824888
Provider Enumeration Date: 04/12/2019
Last Update Date: 09/30/2019

Medicare PECOS Information:

PECOS PAC ID: 0446784524
Enrollment ID: I20241112002546

Medical Identifiers

Medical identifiers for Jacqueline Monique Parks Leach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558824888	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	A14757 (North Carolina)	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. Jacqueline Monique Parks Leach allows following entities to bill medicare on her behalf.

Entity Name	Carolinas Physicians Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819

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. Jacqueline Monique Parks 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
Jacqueline Monique Parks Leach, 314 Davis Rd # 2, Shelby, NC 28152-8737 Ph: (704) 418-1632	Jacqueline Monique Parks Leach, 419 S York St, Gastonia, NC 28052-4035 Ph: (704) 865-8722

Reviews and Comments

Counselor in Gastonia, NC

Brittney Cornette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 419 S York St, Gastonia, NC 28052 Phone: 704-865-8722
Carym Arbulu Casas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2925 Audrey Dr, Gastonia, NC 28054 Phone: 980-484-2111
Mr. Robert Summey Iii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1552 Union Rd, Suite E, Gastonia, NC 28054 Phone: 704-833-0154 Fax: 704-833-7076
Stephanie Jackson Grier, MA, LCAS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1566 Union Rd Ste B, Gastonia, NC 28054 Phone: 704-968-0935
Jessica Gabrielle Montez, MA, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 S York St, Gastonia, NC 28052 Phone: 704-864-6573 Fax: 704-864-9791
Carolyn Linder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 549 Cox Rd, Gastonia, NC 28054 Phone: 704-865-1558
Jessie Dawson, M.A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 W 6th Ave, Gastonia, NC 28052 Phone: 757-339-1149

Jacqueline Monique Parks Leach, - Medicare Counselor in Gastonia, NC