Mr Nelson Leach, APRN is a medicare enrolled "Nurse Practitioner" provider in Milford, Connecticut. He graduated from healthcare school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Impact Health Psych Pc and his current practice location is
38 Berwyn St, Milford, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 571-3233.
Mr Nelson Leach is licensed to practice in Connecticut (license number 8964) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194334359.
Healthcare Provider's Profile
Full Name | Mr Nelson Leach |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Experience | 5 Years |
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Location | 38 Berwyn St, Milford, Connecticut |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Nelson Leach graduated from medical school in 2020
NPI Data:
- NPI Number: 1194334359
- Provider Enumeration Date: 07/23/2020
- Last Update Date: 04/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567880818
- Enrollment ID: I20200917002630
Medical Identifiers
Medical identifiers for Mr Nelson Leach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194334359 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 8964 (Connecticut) | Secondary |
363LF0000X | Nurse Practitioner - Family | 8964 (Connecticut) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 8964 (Connecticut) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 8964 (Connecticut) | Secondary |
363L00000X | Nurse Practitioner | 8964 (Connecticut) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Impact Health Psych Pc | 6204248149 | 11 |
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. Mr Nelson Leach allows following entities to bill medicare on his behalf.
Entity Name | Quentin Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487087250 PECOS PAC ID: 4981833647 Enrollment ID: O20140130000098 |
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Entity Name | Stamford Uc Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316369895 PECOS PAC ID: 2163645391 Enrollment ID: O20140515001783 |
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Entity Name | Qmg 2 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437546363 PECOS PAC ID: 0345541512 Enrollment ID: O20151211000754 |
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Entity Name | Qmg4 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023471299 PECOS PAC ID: 4284912957 Enrollment ID: O20161031002469 |
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Entity Name | Qmg3 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053856039 PECOS PAC ID: 8628353117 Enrollment ID: O20170324000321 |
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Entity Name | Step Up Care Pc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154884740 PECOS PAC ID: 5496088346 Enrollment ID: O20190607000156 |
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Entity Name | Impact Health Psych Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730781022 PECOS PAC ID: 6204248149 Enrollment ID: O20201217000105 |
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Entity Name | Blues And Blahs Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609647221 PECOS PAC ID: 7214373281 Enrollment ID: O20240313000334 |
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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. Mr Nelson 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 |
Mr Nelson Leach, APRN 793 Post Rd E Ste A204, Westport, CT 06880-5243 Ph: () - | Mr Nelson Leach, APRN 38 Berwyn St, Milford, CT 06461-4010 Ph: (203) 571-3233 |
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