Bronc Skyler Leach, in Gilroy, CA - Medicare Nurse Practitioner

Bronc Skyler Leach, is a medicare enrolled "Nurse Practitioner - Acute Care" in Gilroy, California. His current practice location is 915 Fillippelli Dr, Gilroy, California. You can reach out to his office (for appointments etc.) via phone at (417) 389-2376.

Bronc Skyler Leach is licensed to practice in California (license number 95025970) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346929619.

Contact Information

	Bronc Skyler Leach,
	915 Fillippelli Dr, Gilroy, CA 95020-3930
	(417) 389-2376
	Not Available

Map and Direction

Provider's Profile

Full Name	Bronc Skyler Leach
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	915 Fillippelli Dr, Gilroy, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346929619
Provider Enumeration Date: 07/14/2023
Last Update Date: 07/14/2023

Medicare PECOS Information:

PECOS PAC ID: 7012350598
Enrollment ID: I20240212003581

Medical Identifiers

Medical identifiers for Bronc Skyler Leach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346929619	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	775283 (California)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	95025970 (California)	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. Bronc Skyler Leach allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Bronc Skyler Leach 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
Bronc Skyler Leach, 915 Fillippelli Dr, Gilroy, CA 95020-3930 Ph: (417) 389-2376	Bronc Skyler Leach, 915 Fillippelli Dr, Gilroy, CA 95020-3930 Ph: (417) 389-2376

Reviews and Comments

Nurse Practitioner Nurses in Gilroy, CA

Mary Rabitz, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7861 Murray Ave, Gilroy, CA 95020 Phone: 408-842-1017 Fax: 408-842-4186
Natasha Ahmadian, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 760 Renz Ln, Gilroy, CA 95020 Phone: 408-847-1739
Mary Mccafferty, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7861 Murray Ave, Gilroy, CA 95020 Phone: 408-842-1017 Fax: 408-842-4186
Zulaikha Akbery, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 760 Renz Ln, Gilroy, CA 95020 Phone: 408-795-3619 Fax: 408-287-0405
Michelle Catherine Dohrmann, RN, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7520 Arroyo Cir, Gilroy, CA 95020 Phone: 408-846-2351
Yvonne Agupugo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7861 Murray Ave, Gilroy, CA 95020 Phone: 408-715-3088
Mrs. Martha A. Duran, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7520 Arroyo Cir, Gilroy, CA 95020 Phone: 408-848-4095 Fax: 408-846-2338

Bronc Skyler Leach, - Medicare Nurse Practitioner in Gilroy, CA