Carol Ann Love Leach, MA LLP in West Bloomfield, MI

Carol Ann Love Leach, MA LLP is a medicare enrolled "Psychologist" provider in West Bloomfield, Michigan. Her current practice location is 5665 W Maple Rd Ste A, West Bloomfield, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 830-6357.

Carol Ann Love Leach is licensed to practice in Michigan (license number 6301008640) 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 1114931615.

Contact Information

	Carol Ann Love Leach, MA LLP
	5665 W Maple Rd Ste A, West Bloomfield, MI 48322-3741
	(248) 830-6357
	(248) 626-8836

Map and Direction

Healthcare Provider's Profile

Full Name	Carol Ann Love Leach
Gender	Female
Speciality	Psychologist
Location	5665 W Maple Rd Ste A, West Bloomfield, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114931615
Provider Enumeration Date: 07/28/2006
Last Update Date: 04/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3476095423
Enrollment ID: I20240606001082

Medical Identifiers

Medical identifiers for Carol Ann Love Leach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114931615	NPI	-	NPPES
11712865	Other	DC	CAQH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6301008640 (Michigan)	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. Carol Ann Love Leach allows following entities to bill medicare on her behalf.

Entity Name	Carol A Love Leach, M.a., P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962146449 PECOS PAC ID: 2567904519 Enrollment ID: O20240606001005

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. Carol Ann Love 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
Carol Ann Love Leach, MA LLP 260 Hickory Ln, Waterford, MI 48327-2570 Ph: (248) 830-6357	Carol Ann Love Leach, MA LLP 5665 W Maple Rd Ste A, West Bloomfield, MI 48322-3741 Ph: (248) 830-6357

Reviews and Comments

Psychologist in West Bloomfield, MI

Ms. Karen Bango, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6555 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-592-2654 Fax: 248-592-2660
Daniel Simmons, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6555 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-592-2300 Fax: 248-592-2340
Emma Fay Kelly, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7035 Orchard Lake Rd Ste 800, West Bloomfield, MI 48322 Phone: 248-669-9500
Mrs. Joan Frances Lazar, MA, LLP, LPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6024 W Maple Rd, Suite 107, West Bloomfield, MI 48322 Phone: 248-489-1550 Fax: 248-489-9767
Dr. Katherine Ann Young, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1943 Windside, West Bloomfield, MI 48324 Phone: 248-681-5829
Kimberly Elizabeth Zuteck, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5757 W Maple Rd Ste 800b, West Bloomfield, MI 48322 Phone: 586-574-5845
Dr. Alicia Ellen Tisdale, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5665 W Maple Rd, Suite A, West Bloomfield, MI 48322 Phone: 248-626-8833 Fax: 248-626-8836

Carol Ann Love Leach, MA LLP - Medicare Psychologist in West Bloomfield, MI