Dr Jennifer W Leach, MD | |
301 W Poplar St, Suite 100, Walla Walla, WA 99362-2858 | |
(509) 522-5824 | |
(509) 522-5738 |
Full Name | Dr Jennifer W Leach |
---|---|
Gender | Female |
Speciality | Nephrology |
Experience | 19 Years |
Location | 301 W Poplar St, Walla Walla, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417165382 | NPI | - | NPPES |
1417165382 | Medicaid | WA | |
500635060 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | MD 60212127 (Washington) | Primary |
207R00000X | Internal Medicine | MD28595 (Oregon) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Qualicenters - Walla Walla Llc | Walla walla, WA | Dialysis facility |
Blue Mountain Kidney Center | Pendleton, OR | Dialysis facility |
Providence St Mary Medical Center | Walla walla, WA | Hospital |
Dayton General Hospital | Dayton, WA | Hospital |
Wallowa Memorial Hospital | Enterprise, OR | Hospital |
Grande Ronde Hospital | La grande, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services - Washington | 2860552973 | 228 |
Entity Name | Providence Health & Services - Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922259738 PECOS PAC ID: 2860552973 Enrollment ID: O20081223000478 |
Mailing Address | Practice Location Address |
---|---|
Dr Jennifer W Leach, MD Po Box 34439, Seattle, WA 98124-1439 Ph: () - | Dr Jennifer W Leach, MD 301 W Poplar St, Suite 100, Walla Walla, WA 99362-2858 Ph: (509) 522-5824 |
Dr. Galen S Mcquarrie, M. D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 77 Wainwright Dr, Walla Walla, WA 99362 Phone: 509-525-5200 | |
Dr. Delwyn Richard Baker, MD Nephrology Medicare: Medicare Enrolled Practice Location: 77 Wainwright Drive, Walla Walla, WA 99362 Phone: 509-525-5200 | |
Alonso Dario Pezo Salazar, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 1313 N 13th Ave, Walla Walla, WA 99362 Phone: 509-525-3610 | |
Lori Alborn Brown, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 380 Chase St, Walla Walla, WA 99362 Phone: 509-525-8110 Fax: 509-522-5743 | |
Timothy A Davidson, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 401 W Poplar, Walla Walla, WA 99362 Phone: 509-522-5940 Fax: 509-522-5744 | |
Mrs. Cynthia Lynn Rasch, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 401 W Poplar St, Psmpg Hospitalists, Walla Walla, WA 99362 Phone: 509-525-3320 Fax: 509-522-5184 | |
Dr. Philip L Hooper, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 55 West Tietan, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593 |