Leah W Brockway, MD is a
Preventive Medicine - Aerospace Medicine physician based in Fairchild Afb, Washington. Leah W Brockway is licensed to practice in Washington (license number MD00041103) and her current practice location is 92 Medical Group/ Flight Medicine Clinic, 700 Hospital Loop, Bldg 9000, Fairchild Afb, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 247-5755.
NPI number for Leah W Brockway is 1134113905 and her current mailing address is 1614 S Lincoln St, Spokane, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134113905.
Physician's Profile
| Full Name | Leah W Brockway |
|---|
| Gender | Female |
|---|
| Speciality | Preventive Medicine - Aerospace Medicine |
|---|
| Location | 92 Medical Group/ Flight Medicine Clinic, Fairchild Afb, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1134113905
- Provider Enumeration Date: 09/07/2005
- Last Update Date: 02/14/2008
Medical Identifiers
Medical identifiers for Leah W Brockway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134113905 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 5279439-1205 (Utah) | Secondary |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | MD00041103 (Washington) | Primary |
| 208600000X | Surgery | 11633 (Alabama) | Secondary |
| 208600000X | Surgery | 17373 (Louisiana) | Secondary |
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. Leah W Brockway 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 |
|---|
Leah W Brockway, MD
1614 S Lincoln St,
Spokane, WA 99203-1053
Ph: (509) 995-3307 | Leah W Brockway, MD
92 Medical Group/ Flight Medicine Clinic, 700 Hospital Loop, Bldg 9000,
Fairchild Afb, WA 99011
Ph: (509) 247-5755 |
Reviews and Comments