Dr Gwenn Leatherman, is a medicare enrolled "Nurse Practitioner - Family" physician in Hagerstown, Maryland. She graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Meritus Medical Center Inc, Leatherman Healthcare Llc and her current practice location is
118 E Oak Ridge Dr Ste 2000, Hagerstown, Maryland. You can reach out to her office (for appointments etc.) via phone at
(016) 781-8393.
Dr Gwenn Leatherman is licensed to practice in Maryland (license number R185941) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164875654.
Physician's Profile
| Full Name | Dr Gwenn Leatherman |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 118 E Oak Ridge Dr Ste 2000, Hagerstown, Maryland |
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| Accepts Medicare Assignments | Yes. She 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 Gwenn Leatherman graduated from medical school in 2016
NPI Data:
- NPI Number: 1164875654
- Provider Enumeration Date: 07/20/2016
- Last Update Date: 11/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 7911295787
- Enrollment ID: I20161011000804
Medical Identifiers
Medical identifiers for Dr Gwenn Leatherman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164875654 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | R185941 (Maryland) | Secondary |
| 163W00000X | Registered Nurse | R185941 (Maryland) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R185941 (Maryland) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Meritus Medical Center Inc | 7113811795 | 563 |
| Leatherman Healthcare Llc | 7416334685 | 2 |
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 Gwenn Leatherman allows following entities to bill medicare on her behalf.
| Entity Name | Leatherman Healthcare Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972250009
PECOS PAC ID: 7416334685
Enrollment ID: O20220510001610 |
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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 Gwenn 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 Gwenn Leatherman,
118 E Oak Ridge Dr Ste 2000,
Hagerstown, MD 21740-7890
Ph: (301) 678-1839 | Dr Gwenn Leatherman,
118 E Oak Ridge Dr Ste 2000,
Hagerstown, MD 21740-7890
Ph: (016) 781-8393 |
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