Jacqueline Leitsch, is a
Speech-language Pathologist based in Wautoma, Wisconsin. Jacqueline Leitsch is licensed to practice in Wisconsin (license number 6810154) and her current practice location is
N2325 Elm St, Wautoma, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(949) 813-8216.
NPI number for Jacqueline Leitsch is 1376353227 and her current mailing address is N2325 Elm St, Wautoma, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376353227.
Healthcare Provider's Profile
Full Name | Jacqueline Leitsch |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | N2325 Elm St, Wautoma, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376353227
- Provider Enumeration Date: 01/13/2025
- Last Update Date: 01/13/2025
Medical Identifiers
Medical identifiers for Jacqueline Leitsch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376353227 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 6810154 (Wisconsin) | 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. Jacqueline Leitsch 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 |
Jacqueline Leitsch, N2325 Elm St, Wautoma, WI 54982-8093 Ph: (949) 813-8216 | Jacqueline Leitsch, N2325 Elm St, Wautoma, WI 54982-8093 Ph: (949) 813-8216 |
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