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Leah Daniel Salvato

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

5815 Blakeney Park Dr Ste 200b, Charlotte, NC 28277-5734

PECOS Enrollment

This provider is enrolled in PECOS as LEAH SALVATO.

Based on the most recent information from CMS, provider Leah Daniel Salvato is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1619462488
Provider Type
Individual
Full Name
Salvato, Leah Daniel
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
6/25/2018
Last Updated
2/22/2023

Contact Information

Practice Location

5815 Blakeney Park Dr Ste 200b, Charlotte, NC 28277-5734

(704) 316-5080

(704) 316-5085

Mailing Location

PO Box 60447, Charlotte, NC 28260-0447

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 001008219 North Carolina
Code 363AM0700X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer North Carolina

Leah Daniel Salvato

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Drosinis, Donna Jean

Pounds, Parker Elizabeth

Swope, William

Griffin, Noelle A

Ciovacco, Emily C

Corlett, Eric James

Hoskins, Mallory Ann

Krol, Alicia Marie Pielow

Rodriguez, Mariah Leigh

Qiu, Yuan-Jane