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Leanne Gold Gottschalk

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203

PECOS Enrollment

This provider is enrolled in PECOS as LEANNE GOTTSCHALK.

Based on the most recent information from CMS, provider Leanne Gold Gottschalk 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 2 days ago.

Profile Details

Provider ID
1780810507
Provider Type
Individual
Full Name
Gottschalk, Leanne Gold
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
6/8/2009
Last Updated
4/16/2025

Contact Information

Practice Location

Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203

(800) 491-0909

Unlisted Fax

Mailing Location

Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203

(800) 491-0909

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 3902 South Carolina
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 3902 South Carolina

Provider Identifiers

ID	Description	Issuer
ID 1780810507	Description Medicaid	Issuer Unlisted South Carolina
ID NP1484	Description Medicaid	Issuer Unlisted South Carolina
ID 7004602	Description Medicaid	Issuer Unlisted North Carolina
ID P00869627	Description Other	Issuer RAILROAD MEDICARE South Carolina

Leanne Gold Gottschalk

PECOS Enrollment

Profile Details

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