Dr Cord Tanner Landrum, DC, PA-C is a medicare enrolled "Physician Assistant" provider in Ada, Oklahoma. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Quickcare Aprn-cnp, Llc, Central Oklahoma Family Medical Center Inc and 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 | Physician Assistant |
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| Experience | 6 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 graduated from medical school in 2018
NPI Data:
- NPI Number: 1801986740
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 11/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 0042217853
- Enrollment ID: I20190115003417
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Quickcare Aprn-cnp, Llc | 1658637814 | 11 |
| Central Oklahoma Family Medical Center Inc | 9931189685 | 49 |
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 |
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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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