John Quint Leatherman, in Bainbridge Island, WA

John Quint Leatherman, is a medicare enrolled "Family Medicine" physician in Bainbridge Island, Washington. His current practice location is 1344 Wintergreen Ln Ne, Bainbridge Island, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 842-5632.

John Quint Leatherman is licensed to practice in Washington (license number MD61444543) 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 1467039073.

Contact Information

	John Quint Leatherman,
	1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110-5147
	(206) 842-5632
	(206) 842-5992

Map and Direction

Physician's Profile

Full Name	John Quint Leatherman
Gender	Male
Speciality	Family Medicine
Location	1344 Wintergreen Ln Ne, Bainbridge Island, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467039073
Provider Enumeration Date: 03/28/2021
Last Update Date: 02/19/2025

Medicare PECOS Information:

PECOS PAC ID: 8426467796
Enrollment ID: I20241009003669

Medical Identifiers

Medical identifiers for John Quint Leatherman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467039073	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD61444543 (Washington)	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 Quint Leatherman allows following entities to bill medicare on his behalf.

Entity Name	Virginia Mason Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801851258 PECOS PAC ID: 9830002617 Enrollment ID: O20031107000383

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 Quint 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
John Quint Leatherman, Po Box 741515, Los Angeles, CA 90074-1515 Ph: (206) 842-5632	John Quint Leatherman, 1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110-5147 Ph: (206) 842-5632

Reviews and Comments

Family Medicine Doctors in Bainbridge Island, WA

Dr. Richard Stcyr, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 945 Hildebrand Ln Ne, Suite 100, Bainbridge Island, WA 98110 Phone: 206-991-2121 Fax: 206-991-2151
Mara Saulitis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 945 Hildebrand Ln Ne Ste 100, Bainbridge Island, WA 98110 Phone: 206-991-2121 Fax: 206-991-2151
Jessica Tzou, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110 Phone: 206-842-5632 Fax: 206-842-5992
Catherine J Edwards, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110 Phone: 206-842-5632 Fax: 206-842-5992
Charles Anthony Nelson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 945 Hildebrand Ln Ne Ste 100, Bainbridge Island, WA 98110 Phone: 206-991-2121 Fax: 206-991-2151
Blain A Crandell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Bjune Dr Se, Suite 101, Bainbridge Island, WA 98110 Phone: 206-842-3222 Fax: 206-842-1877
Kim Leatham, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110 Phone: 206-842-5632 Fax: 206-842-5992

John Quint Leatherman, - Medicare Family Medicine in Bainbridge Island, WA