Kristina Ann Leake, MD in Charlotte, NC - Medicare Obstetrics & Gynecology

Kristina Ann Leake, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Charlotte, North Carolina. Her current practice location is 1901 E 5th St, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 367-4363.

Kristina Ann Leake is licensed to practice in North Carolina (license number 140987) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609070093.

Contact Information

	Kristina Ann Leake, MD
	1901 E 5th St, Charlotte, NC 28204-2429
	(980) 367-4363
	(704) 384-1644

Map and Direction

Physician's Profile

Full Name	Kristina Ann Leake
Gender	Female
Speciality	Obstetrics & Gynecology
Location	1901 E 5th St, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609070093
Provider Enumeration Date: 06/12/2007
Last Update Date: 04/24/2024

Medicare PECOS Information:

PECOS PAC ID: 9537331921
Enrollment ID: I20111006000595

Medical Identifiers

Medical identifiers for Kristina Ann Leake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609070093	NPI	-	NPPES
5918497	Medicaid	NC
2011-00385	Other	NC	NC LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	140987 (North Carolina)	Primary

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. Kristina Ann Leake allows following entities to bill medicare on her behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306950282 PECOS PAC ID: 1153234893 Enrollment ID: O20040204001028

Entity Name	Nmg Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396455267 PECOS PAC ID: 4789057753 Enrollment ID: O20230222003037

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. Kristina Ann Leake 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
Kristina Ann Leake, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (980) 367-4963	Kristina Ann Leake, MD 1901 E 5th St, Charlotte, NC 28204-2429 Ph: (980) 367-4363

Reviews and Comments

Obstetrics & Gynecology Doctors in Charlotte, NC

Jackie Alan Lucas, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1025 Morehead Medical Dr, Ste 450, Charlotte, NC 28204 Phone: 704-446-7800
Lynn Amy Boardman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1544
Dr. Simon Vivian Ward Iii, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1918 Randolph Rd, Suite 670, Charlotte, NC 28207 Phone: 704-384-1620 Fax: 704-384-1626
Curtis Lee Flood, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1901 E 5th St, Charlotte, NC 28204 Phone: 980-367-4363 Fax: 704-384-1644
Grant Blanchard, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1544
Roland Pixley, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1025 Morehead Medical Dr, Ste 400, Charlotte, NC 28204 Phone: 704-446-1700
Katherine Elizabeth Akeley, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4525 Cameron Valley Pkwy Ste 2500, Charlotte, NC 28211 Phone: 704-446-1700

Kristina Ann Leake, MD - Medicare Obstetrics & Gynecology in Charlotte, NC