James C Leak, MD is a
Family Medicine physician based in Gloster, Mississippi. James C Leak is licensed to practice in Mississippi (license number 12264) and his current practice location is 434 N Captain Gloster Dr, Gloster, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 225-4711.
NPI number for James C Leak is 1427086636 and his current mailing address is Po Box 639, Centreville, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427086636.
Physician's Profile
| Full Name | James C Leak |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
|---|
| Location | 434 N Captain Gloster Dr, Gloster, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1427086636
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 01/19/2010
Medical Identifiers
Medical identifiers for James C Leak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427086636 | NPI | - | NPPES |
| 00018128 | Medicaid | MS | |
| 1391875 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 12264 (Mississippi) | 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. James C 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 |
|---|
James C Leak, MD
Po Box 639,
Centreville, MS 39631-0639
Ph: (601) 645-5221 | James C Leak, MD
434 N Captain Gloster Dr,
Gloster, MS 39638-3401
Ph: (601) 225-4711 |
Reviews and Comments