Dr Jack Wade Lethermon, DNP PMHNP - Medicare Nurse Practitioner in Claremore, OK

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Dr Jack Wade Lethermon, DNP PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Claremore, Oklahoma. His current practice location is 505 W 1st St, Claremore, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 606-5225.

Dr Jack Wade Lethermon is licensed to practice in Oklahoma (license number 214986) 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 1316722119.

Contact Information

Dr Jack Wade Lethermon, DNP PMHNP
505 W 1st St,
Claremore, OK 74017-7803
(918) 606-5225
Not Available

Map and Direction




Provider's Profile

Full NameDr Jack Wade Lethermon
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location505 W 1st St, Claremore, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316722119
  • Provider Enumeration Date: 08/29/2023
  • Last Update Date: 04/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9739535501
  • Enrollment ID: I20231031000704

Medical Identifiers

Medical identifiers for Dr Jack Wade Lethermon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316722119NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 214986 (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 Jack Wade Lethermon allows following entities to bill medicare on his behalf.
Entity NameCreek Nation Hospital & Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467053173
PECOS PAC ID: 5698786226
Enrollment ID: O20210226001928

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 Jack Wade Lethermon 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 AddressPractice Location Address
Dr Jack Wade Lethermon, DNP PMHNP
904 S Division St,
Sapulpa, OK 74066-5706

Ph: (918) 606-5225		Dr Jack Wade Lethermon, DNP PMHNP
505 W 1st St,
Claremore, OK 74017-7803

Ph: (918) 606-5225

Reviews and Comments


Nurse Practitioner Nurses in Claremore, OK

Megan Diane Rasor,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1201 Parkland Ave, Claremore, OK 74017
Phone: 918-244-9175    
Mrs. Carol Sue Carter, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1926 S Highway 66, Claremore, OK 74019
Phone: 918-978-8900    
Mrs. Shannon Reavis, ARNP FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 21625 E 460 Rd, Claremore, OK 74019
Phone: 918-606-5702    
Melissa Nell Gingerich,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1501 N Florence Ave, Claremore, OK 74017
Phone: 918-579-3627    
Valerie Mitchell, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1501 N Florence Ave Ste 250, Claremore, OK 74017
Phone: 918-343-8513    
Linda A Meredith, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3001 W Blue Starr Dr, Claremore, OK 74017
Phone: 918-342-5432    Fax: 918-342-0835
Arlene Maria Ann Siereveld, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3001 W Blue Starr Dr, Claremore, OK 74017
Phone: 918-342-5432    Fax: 918-342-0835

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.