Georgia Marie Leake, DO | |
1211 24th St, Anacortes, WA 98221 | |
(360) 299-1300 | |
Not Available |
Full Name | Georgia Marie Leake |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 9 Years |
Location | 1211 24th St, Anacortes, 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 |
---|---|---|---|
1457739492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OP60903926 (Washington) | Secondary |
207R00000X | Internal Medicine | 13262810-1204 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fort Defiance Indian Hospital | Fort defiance, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Fort Defiance Indian Hospital Board, Incorporation | 0941336697 | 143 |
Entity Name | The Fort Defiance Indian Hospital Board, Incorporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153 |
Mailing Address | Practice Location Address |
---|---|
Georgia Marie Leake, DO 571 Rose Ln, Burlington, WA 98233-2811 Ph: (316) 207-1110 | Georgia Marie Leake, DO 1211 24th St, Anacortes, WA 98221 Ph: (360) 299-1300 |
Charles Vladimir Kotal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 912 32nd St., Ste A, Anacortes, WA 98221 Phone: 360-416-5750 Fax: 360-416-5758 | |
Mr. Richard Roy Holman, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1211 24th St, Anacortes, WA 98221 Phone: 360-299-1300 | |
Greg G. Monaghan, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2908 17th St., Anacortes, WA 98221 Phone: 913-638-2675 | |
Helen Yingqing Young, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 912 32nd Street, Suite A, Anacortes, WA 98221 Phone: 360-293-4343 Fax: 360-588-1587 | |
Allen Horesh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 912 32nd St, Suite A, Anacortes, WA 98221 Phone: 360-293-4343 | |
Dr. Arthur Molina Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1211 24th St, Anacortes, WA 98221 Phone: 360-293-3101 |