Dr Bryan David Leatherman, MD is a medicare enrolled "Otolaryngology - Otolaryngic Allergy" physician in Gulfport, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Memorial Hospital At Gulfport and his current practice location is
1213 Broad Ave, Suite 4, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(228) 864-2121.
Dr Bryan David Leatherman is licensed to practice in Mississippi (license number 17564) 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 1154367738.
Physician's Profile
| Full Name | Dr Bryan David Leatherman |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 27 Years |
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| Location | 1213 Broad Ave, Gulfport, Mississippi |
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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 Bryan David Leatherman attended and graduated from University Of Mississippi School Of Medicine in 1997
NPI Data:
- NPI Number: 1154367738
- Provider Enumeration Date: 06/21/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4981690294
- Enrollment ID: I20050401000609
Medical Identifiers
Medical identifiers for Dr Bryan David Leatherman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154367738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 17564 (Mississippi) | Primary |
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | 17564 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Memorial Hospital At Gulfport | 2466524012 | 376 |
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 Bryan David Leatherman allows following entities to bill medicare on his behalf.
| Entity Name | Coastal Ear, Nose And Throat, Head And Neck Surgery Associates, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366560435
PECOS PAC ID: 0042280067
Enrollment ID: O20040728000361 |
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| Entity Name | Memorial Hospital At Gulfport |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215546635
PECOS PAC ID: 2466524012
Enrollment ID: O20090515000396 |
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| Entity Name | Gulf Coast Ear Nose And Throat Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689241622
PECOS PAC ID: 8325439417
Enrollment ID: O20211228001521 |
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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 Bryan David Leatherman 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 Bryan David Leatherman, MD
218 Oakwood Dr,
Gulfport, MS 39507-1918
Ph: (228) 896-2896 | Dr Bryan David Leatherman, MD
1213 Broad Ave, Suite 4,
Gulfport, MS 39501-2475
Ph: (228) 864-2121 |
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