Dr Dezarae Leto, DO in Ada, OK

Dr Dezarae Leto, DO is a medicare enrolled "Surgery" physician in Ada, Oklahoma. Her current practice location is 1921 Stonecipher Dr, Ada, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 436-3980.

Dr Dezarae Leto is licensed to practice in Mississippi (license number 30095) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1538689047.

Contact Information

	Dr Dezarae Leto, DO
	1921 Stonecipher Dr, Ada, OK 74820-3439
	(580) 436-3980
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Dezarae Leto
Gender	Female
Speciality	Surgery
Location	1921 Stonecipher Dr, Ada, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538689047
Provider Enumeration Date: 06/26/2017
Last Update Date: 07/27/2023

Medicare PECOS Information:

PECOS PAC ID: 6507139508
Enrollment ID: I20230623000304

Medical Identifiers

Medical identifiers for Dr Dezarae Leto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538689047	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	30095 (Mississippi)	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 Dezarae Leto allows following entities to bill medicare on her behalf.

Entity Name	Chickasaw Nation Division Of Health Chickasaw Nation Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255364923 PECOS PAC ID: 8426957523 Enrollment ID: O20040108000364

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 Dezarae Leto 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 Dezarae Leto, DO 1921 Stonecipher Dr, Ada, OK 74820-3439 Ph: () -	Dr Dezarae Leto, DO 1921 Stonecipher Dr, Ada, OK 74820-3439 Ph: (580) 436-3980

Reviews and Comments

Surgery Doctors in Ada, OK

Dr. Danielle Renee Burkdoll, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283
Dr. Celeste Coleen Adrian, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 435 N Monte Vista St, Ada, OK 74820 Phone: 580-310-0102 Fax: 580-310-0104
Dr. Justin B Plaxico, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 435 N Monte Vista St, Ada, OK 74820 Phone: 580-310-0102 Fax: 580-310-0104
Ghaith Al-qudah, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 435 N Monte Vista St, Ada, OK 74820 Phone: 580-310-0102 Fax: 580-310-0104
Mr. Robert Luther Waddell, MD Surgery Medicare: Medicare Enrolled Practice Location: 435 N Monte Vista, Ada, OK 74820 Phone: 580-310-0102 Fax: 580-310-0104
Douglas Thornton, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 435 N Monte Vista St, Ada, OK 74820 Phone: 580-310-0102 Fax: 580-310-0104

Dr Dezarae Leto, DO - Medicare Surgery in Ada, OK