Natalie Xiomara Leak, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Suwanee, Georgia. She went to University Of South Alabama College Of Medicine and graduated in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northside Primary Care Professional Services,llc and her current practice location is
4855 Chesterfield Ct, Suwanee, Georgia. You can reach out to her office (for appointments etc.) via phone at
(917) 447-8646.
Natalie Xiomara Leak is licensed to practice in Georgia (license number RN228647) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760089692.
Physician's Profile
Full Name | Natalie Xiomara Leak |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 4 Years |
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Location | 4855 Chesterfield Ct, Suwanee, Georgia |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Natalie Xiomara Leak attended and graduated from University Of South Alabama College Of Medicine in 2020
NPI Data:
- NPI Number: 1760089692
- Provider Enumeration Date: 10/05/2020
- Last Update Date: 01/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 6305258179
- Enrollment ID: I20201219000178
Medical Identifiers
Medical identifiers for Natalie Xiomara Leak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760089692 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RC0200X | Internal Medicine - Critical Care Medicine | RN228647 (Georgia) | Secondary |
363L00000X | Nurse Practitioner | RN228647 (Georgia) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | RN228647 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Northside Primary Care Professional Services,llc | 9638343924 | 266 |
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. Natalie Xiomara Leak allows following entities to bill medicare on her behalf.
Entity Name | The Emory Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
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Entity Name | Northside Primary Care Professional Services,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206 |
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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. Natalie Xiomara Leak 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 |
Natalie Xiomara Leak, APRN 4855 Chesterfield Ct, Suwanee, GA 30024-1350 Ph: (917) 447-8646 | Natalie Xiomara Leak, APRN 4855 Chesterfield Ct, Suwanee, GA 30024-1350 Ph: (917) 447-8646 |
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