Willie Leak, CASAC is a
Counselor - Addiction (substance Use Disorder) based in Poestenkill, New York. Willie Leak is licensed to practice in New York (license number ) and his current practice location is
485 Snake Hill Rd, Poestenkill, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 961-0630.
NPI number for Willie Leak is 1255805602 and his current mailing address is 485 Snake Hill Rd, Poestenkill, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255805602.
Healthcare Provider's Profile
| Full Name | Willie Leak |
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| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 485 Snake Hill Rd, Poestenkill, New York |
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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: 1255805602
- Provider Enumeration Date: 01/18/2019
- Last Update Date: 01/18/2019
Medical Identifiers
Medical identifiers for Willie Leak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255805602 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (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. Willie Leak 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 |
|---|
Willie Leak, CASAC
485 Snake Hill Rd,
Poestenkill, NY 12140-3319
Ph: () - | Willie Leak, CASAC
485 Snake Hill Rd,
Poestenkill, NY 12140-3319
Ph: (518) 961-0630 |
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