Dr Leroy Southmayd Iii, MD in Oklahoma City, OK

Dr Leroy Southmayd Iii, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Oklahoma City, Oklahoma. His current practice location is 1202 W Wilshire Blvd, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 823-3073.

Dr Leroy Southmayd Iii is licensed to practice in Oklahoma (license number 17164) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851351969.

Contact Information

	Dr Leroy Southmayd Iii, MD
	1202 W Wilshire Blvd, Oklahoma City, OK 73116-6109
	(405) 823-3073
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Leroy Southmayd Iii
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	1202 W Wilshire Blvd, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851351969
Provider Enumeration Date: 03/23/2006
Last Update Date: 03/08/2020

Medicare PECOS Information:

PECOS PAC ID: 8820139553
Enrollment ID: I20100104000301

Medical Identifiers

Medical identifiers for Dr Leroy Southmayd Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851351969	NPI	-	NPPES
100219420B	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	17164 (Oklahoma)	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 Leroy Southmayd Iii allows following entities to bill medicare on his behalf.

Entity Name	Integris Ambulatory Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354

Entity Name	Healogics Specialty Physicians Of Oklahoma Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144625740 PECOS PAC ID: 2264758705 Enrollment ID: O20150227001987

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 Leroy Southmayd Iii 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 Leroy Southmayd Iii, MD 1202 W Wilshire Blvd, Oklahoma City, OK 73116-6109 Ph: (405) 823-3073	Dr Leroy Southmayd Iii, MD 1202 W Wilshire Blvd, Oklahoma City, OK 73116-6109 Ph: (405) 823-3073

Reviews and Comments

Internal Medicine Doctors in Oklahoma City, OK

Evelyn Lorents, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 920 Sl Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5963
Patrick Bronson Reeves, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3366 Nw Expressway Ste 550, Oklahoma City, OK 73112 Phone: 405-942-5442 Fax: 405-942-6448
Dr. Jake Lee Evans, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 Phone: 405-271-5963
Metri Haddaden, MD Nephrology Medicare: Medicare Enrolled Practice Location: 800 Stanton L Young Blvd # 8425, Oklahoma City, OK 73104 Phone: 405-271-6173 Fax: 410-554-2184
Divya Sharma Divyadarshini, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5963
Dr. Philip Barton Miner, Jr., M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1000 N Lincoln Blvd, Suite 210, Oklahoma City, OK 73104 Phone: 405-271-4644 Fax: 405-271-3296
Gary Lee Worcester, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3433 Nw 56th St, Ste 400, Oklahoma City, OK 73112 Phone: 405-947-3341

Dr Leroy Southmayd Iii, MD - Medicare Internal Medicine in Oklahoma City, OK