Dr Cord Tanner Landrum, DC, PA-C is a medicare enrolled "Physician Assistant" provider in Ada, Oklahoma. He graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Central Oklahoma Family Medical Center Inc, Quickcare Aprn-cnp, Llc and his current practice location is
905 Colony Dr, Ada, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 436-5111.
Dr Cord Tanner Landrum is licensed to practice in Oklahoma (license number 3003) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801986740.
Healthcare Provider's Profile
| Full Name | Dr Cord Tanner Landrum |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 905 Colony Dr, Ada, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Cord Tanner Landrum graduated from medical school in 2018
NPI Data:
- NPI Number: 1801986740
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 11/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 0042217853
- Enrollment ID: I20190115003417
Medical Identifiers
Medical identifiers for Dr Cord Tanner Landrum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801986740 | NPI | - | NPPES |
| 3003 | Other | OK | OKLAHOMA BOARD OF MEDICAL LICENSURE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 3744 (Oklahoma) | Secondary |
| 363A00000X | Physician Assistant | 3003 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Central Oklahoma Family Medical Center Inc | 9931189685 | 57 |
| Quickcare Aprn-cnp, Llc | 1658637814 | 12 |
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 Cord Tanner Landrum 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 |
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Dr Cord Tanner Landrum, DC, PA-C
527 W 3rd St,
Konawa, OK 74849-1415
Ph: (580) 925-3286 | Dr Cord Tanner Landrum, DC, PA-C
905 Colony Dr,
Ada, OK 74820-2329
Ph: (580) 436-5111 |
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