John C Leatherman, MD is a medicare enrolled "Family Medicine" physician in Ramona, Oklahoma. His current practice location is
400 Wyandotte Pl, Ramona, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 287-1310.
John C Leatherman is licensed to practice in Oklahoma (license number 17649) 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 1295779460.
Physician's Profile
| Full Name | John C Leatherman |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 400 Wyandotte Pl, Ramona, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1295779460
- Provider Enumeration Date: 06/16/2006
- Last Update Date: 03/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 6709843386
- Enrollment ID: I20220823003807
Medical Identifiers
Medical identifiers for John C Leatherman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295779460 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 17649 (Oklahoma) | Secondary |
| 207Q00000X | Family Medicine | 17649 (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. John C Leatherman allows following entities to bill medicare on his behalf.
| Entity Name | Cherokee Nation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780692723
PECOS PAC ID: 5799698742
Enrollment ID: O20031106000628 |
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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. John C 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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John C Leatherman, MD
Po Box 420,
Ramona, OK 74061-0420
Ph: (918) 536-1024 | John C Leatherman, MD
400 Wyandotte Pl,
Ramona, OK 74061-3678
Ph: (918) 287-1310 |
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