Larita Leake, AS NURSING is a
Case Manager/care Coordinator based in Oklahoma City, Oklahoma. Larita Leake is licensed to practice in * (Not Available) (license number ) and her current practice location is
10404 Vineyard Blvd Ste C, Oklahoma City, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 463-0950.
NPI number for Larita Leake is 1942825872 and her current mailing address is 9614 Ne 4th St, Midwest City, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942825872.
Provider's Profile
Full Name | Larita Leake |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 10404 Vineyard Blvd Ste C, Oklahoma City, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942825872
- Provider Enumeration Date: 06/16/2020
- Last Update Date: 06/16/2020
Medical Identifiers
Medical identifiers for Larita Leake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942825872 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 70361 (Oklahoma) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Larita Leake 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 |
Larita Leake, AS NURSING 9614 Ne 4th St, Midwest City, OK 73130-2514 Ph: (405) 906-1033 | Larita Leake, AS NURSING 10404 Vineyard Blvd Ste C, Oklahoma City, OK 73120-3739 Ph: (405) 463-0950 |
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