Individual ProviderWayne LeachSocial WorkerBehavioral Health & Social Service ProvidersPractice Address35000 Chardon Rd, Suite 210, Willoughby, OH 44094-9012(440) 951-5600PECOS EnrollmentBased on the most recent information from CMS, provider Wayne Leach is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1851491005Provider TypeIndividualFull NameLeach, WayneCredentialLISWGenderMaleSole ProprietorNoEnumeration Date9/25/2006Last Updated10/8/2009Contact InformationPractice LocationPractice Address35000 Chardon Rd, Suite 210, Willoughby, OH 44094-9012Phone(440) 951-5600Fax(440) 951-1293Mailing LocationMailing Address35000 Chardon Rd, Suite 210, Willoughby, OH 44094-9012Phone(440) 951-5600Fax(440) 951-1293Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseI-8151Ohio