Dr Angel Stephen Leo, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Tulsa, Oklahoma. Her current practice location is
7501 Riverside Pkwy, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 710-4200.
Dr Angel Stephen Leo is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992388722.
Physician's Profile
Full Name | Dr Angel Stephen Leo |
---|
Gender | Female |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 7501 Riverside Pkwy, Tulsa, Oklahoma |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992388722
- Provider Enumeration Date: 04/29/2021
- Last Update Date: 10/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 6103290523
- Enrollment ID: I20230324001869
Medical Identifiers
Medical identifiers for Dr Angel Stephen Leo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992388722 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 7675 (Oklahoma) | Secondary |
207Q00000X | Family Medicine | 7675 (Oklahoma) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Angel Stephen Leo allows following entities to bill medicare on her behalf.
Entity Name | St John Physicians Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20031121000867 |
---|
Entity Name | Wagoner Hospital Authority |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1386611580 PECOS PAC ID: 0042217531 Enrollment ID: O20061214000095 |
---|
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. Dr Angel Stephen Leo 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 |
Dr Angel Stephen Leo, DO 7501 Riverside Pkwy, Tulsa, OK 74136-5056 Ph: (918) 710-4200 | Dr Angel Stephen Leo, DO 7501 Riverside Pkwy, Tulsa, OK 74136-5056 Ph: (918) 710-4200 |
Reviews and Comments