Dr Cord Tanner Landrum, DC, PA-C is a medicare enrolled "Physician Assistant" provider in Ada, Oklahoma. His current practice location is
905 Colony Dr, Ada, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 436-5111.
Dr Cord Tanner Landrum is licensed to practice in Oklahoma (license number 3003) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801986740.
Healthcare Provider's Profile
| Full Name | Dr Cord Tanner Landrum |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 905 Colony Dr, Ada, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Cord Tanner Landrum attended and graduated from in
NPI Data:
- NPI Number: 1801986740
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 11/22/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Cord Tanner Landrum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801986740 | NPI | - | NPPES |
| 3003 | Other | OK | OKLAHOMA BOARD OF MEDICAL LICENSURE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 3744 (Oklahoma) | Secondary |
| 363A00000X | Physician Assistant | 3003 (Oklahoma) | Primary |
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 Cord Tanner Landrum 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 Cord Tanner Landrum, DC, PA-C
527 W 3rd St,
Konawa, OK 74849-1415
Ph: (580) 925-3286 | Dr Cord Tanner Landrum, DC, PA-C
905 Colony Dr,
Ada, OK 74820-2329
Ph: (580) 436-5111 |
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