Kathleen Mary Leo, is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Adult" in Matawan, New Jersey. Her current practice location is
514 Morristown Rd, Matawan, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 583-2135.
Kathleen Mary Leo is licensed to practice in New Jersey (license number ) 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 1790977601.
Provider's Profile
Full Name | Kathleen Mary Leo |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
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Location | 514 Morristown Rd, Matawan, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790977601
- Provider Enumeration Date: 08/14/2007
- Last Update Date: 08/14/2007
Medicare PECOS Information:
- PECOS PAC ID: 4880753714
- Enrollment ID: I20081107000102
Medical Identifiers
Medical identifiers for Kathleen Mary Leo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790977601 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | (New Jersey) | 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. Kathleen Mary Leo 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 |
Kathleen Mary Leo, 514 Morristown Rd, Matawan, NJ 07747-3580 Ph: (732) 583-2135 | Kathleen Mary Leo, 514 Morristown Rd, Matawan, NJ 07747-3580 Ph: (732) 583-2135 |
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