Lea Sarah Humphrey, DO is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Tahlequah, Oklahoma. She went to Edward Via Col Of Osteo Medicine-virginia Campus and graduated in 2010 and has 16 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Cherokee Nation, Northeastern Oklahoma Community Health Centers, Inc, Northeastern Health System and her current practice location is
1203 E Ross Byp, Tahlequah, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 453-1234.
Lea Sarah Humphrey is licensed to practice in Oklahoma (license number 6819) 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 1649584855.
Physician's Profile
| Full Name | Lea Sarah Humphrey |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 16 Years |
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| Location | 1203 E Ross Byp, Tahlequah, Oklahoma |
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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. |
Medical Education and Training:
- Lea Sarah Humphrey attended and graduated from Edward Via Col Of Osteo Medicine-virginia Campus in 2010
NPI Data:
- NPI Number: 1649584855
- Provider Enumeration Date: 07/29/2010
- Last Update Date: 10/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 3173836871
- Enrollment ID: I20220504000403
Medical Identifiers
Medical identifiers for Lea Sarah Humphrey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649584855 | NPI | - | NPPES |
| 200593430A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 2010019023 (Missouri) | Secondary |
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 6819 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Cherokee Nation | 5799698742 | 438 |
| Northeastern Oklahoma Community Health Centers, Inc | 3678482635 | 36 |
| Northeastern Health System | 1456255025 | 107 |
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. Lea Sarah Humphrey allows following entities to bill medicare on her 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. Lea Sarah Humphrey 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 |
Lea Sarah Humphrey, DO 100 Mercy Way, Ste 560, Joplin, MO 64804-4524 Ph: (417) 556-8555 | Lea Sarah Humphrey, DO 1203 E Ross Byp, Tahlequah, OK 74464-4133 Ph: (918) 453-1234 |
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