Thomas R Leach, DDS in Clinton, LA - Medicare Dentist Provider

Thomas R Leach, DDS is a medicare enrolled "Dentist - General Practice" provider in Clinton, Louisiana. His current practice location is 11990 Jackson St, Clinton, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 683-5292.

Thomas R Leach is licensed to practice in New York (license number 043194) 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 1447242284.

Contact Information

	Thomas R Leach, DDS
	11990 Jackson St, Clinton, LA 70722-3210
	(225) 683-5292
	Not Available

Healthcare Provider's Profile

Full Name	Thomas R Leach
Gender	Male
Speciality	Dentist - General Practice
Location	11990 Jackson St, Clinton, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447242284
Provider Enumeration Date: 08/18/2005
Last Update Date: 03/29/2019

Medicare PECOS Information:

PECOS PAC ID: 7113219080
Enrollment ID: I20160713001672

Medical Identifiers

Medical identifiers for Thomas R Leach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447242284	NPI	-	NPPES
1862401	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	6240 (Louisiana)	Secondary
1223G0001X	Dentist - General Practice	043194 (New York)	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. Thomas R 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
Thomas R Leach, DDS P.o.box 395, Clinton, LA 70722 Ph: (225) 395-8022	Thomas R Leach, DDS 11990 Jackson St, Clinton, LA 70722-3210 Ph: (225) 683-5292

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Dentist in Clinton, LA

Dr. Lauren Olson Smith, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292
Dr. Eric Wallace Hayes, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10105 Plank Rd., Suite C, Clinton, LA 70722 Phone: 225-683-9000 Fax: 225-683-7000
Dr. Carl David Anderson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12242 Silliman St, Clinton, LA 70722 Phone: 225-683-5413 Fax: 225-683-5111
Dr. Ariel Marie Brown, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292
Dr. Kelly Elizabeth Guedry, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-1310
Dr. Walker P Mcvea, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12236 Woodville St, Clinton, LA 70722 Phone: 225-683-3384 Fax: 225-683-3353

Thomas R Leach, DDS - Medicare Dentist in Clinton, LA