Mark S Leath, CRNA in Monroe, LA - Medicare Nurse Anesthetist, Certified Registered

Mark S Leath, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Monroe, Louisiana. His current practice location is 4864 Jackson St, Monroe, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 330-7626.

Mark S Leath is licensed to practice in Louisiana (license number AP05050) 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 1871573014.

Contact Information

	Mark S Leath, CRNA
	4864 Jackson St, Monroe, LA 71202-6400
	(318) 330-7626
	(318) 330-7648

Map and Direction

Provider's Profile

Full Name	Mark S Leath
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	4864 Jackson St, Monroe, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871573014
Provider Enumeration Date: 01/21/2006
Last Update Date: 08/28/2017

Medicare PECOS Information:

PECOS PAC ID: 9931148798
Enrollment ID: I20070202000334

Medical Identifiers

Medical identifiers for Mark S Leath such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871573014	NPI	-	NPPES
1454222	Medicaid	LA
157491001	Medicaid	AR
5Y301	Other	AR	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	AP05050 (Louisiana)	Primary
367500000X	Nurse Anesthetist, Certified Registered	C01511 (Arkansas)	Secondary

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. Mark S Leath allows following entities to bill medicare on his behalf.

Entity Name	Smso Anesthesia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730134636 PECOS PAC ID: 7012970627 Enrollment ID: O20041104001054

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. Mark S Leath 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
Mark S Leath, CRNA Po Box 3185, Monroe, LA 71210-3185 Ph: (318) 998-6129	Mark S Leath, CRNA 4864 Jackson St, Monroe, LA 71202-6400 Ph: (318) 330-7626

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Monroe, LA

Kory M Gilbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 312 Grammont St, Monroe, LA 71201 Phone: 318-998-6138 Fax: 318-998-6139
Caley Pyles, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-626-0000
Teresa Halley Willis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3421 Medical Park Dr, Monroe, LA 71203 Phone: 318-388-7890
Kelley Goodman Frankowicz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 312 Grammont St, Suite 101, Monroe, LA 71201 Phone: 318-998-6129
Lora Cullipher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 312 Grammont St, Suite 101, Monroe, LA 71201 Phone: 318-998-6138
Heather Dianne Duty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 312 Grammont St Ste 101, Monroe, LA 71201 Phone: 318-998-6129
Marti Melinda Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3421 Medical Park Dr., Monroe, LA 71203 Phone: 318-388-7890

Mark S Leath, CRNA - Medicare Nurse Anesthetist, Certified Registered in Monroe, LA