Dr Gwenn Leatherman, is a medicare enrolled "Nurse Practitioner - Family" physician in Hagerstown, Maryland. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Leatherman Healthcare Llc and her current practice location is
118 E Oak Ridge Dr Ste 2000, Hagerstown, Maryland. You can reach out to her office (for appointments etc.) via phone at
(016) 781-8393.
Dr Gwenn Leatherman is licensed to practice in Maryland (license number R185941) 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 1164875654.
Physician's Profile
Full Name | Dr Gwenn Leatherman |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 8 Years |
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Location | 118 E Oak Ridge Dr Ste 2000, Hagerstown, Maryland |
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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:
- Dr Gwenn Leatherman graduated from medical school in 2016
NPI Data:
- NPI Number: 1164875654
- Provider Enumeration Date: 07/20/2016
- Last Update Date: 11/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 7911295787
- Enrollment ID: I20161011000804
Medical Identifiers
Medical identifiers for Dr Gwenn Leatherman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164875654 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | R185941 (Maryland) | Secondary |
163W00000X | Registered Nurse | R185941 (Maryland) | Secondary |
363LF0000X | Nurse Practitioner - Family | R185941 (Maryland) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Leatherman Healthcare Llc | 7416334685 | 2 |
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 Gwenn Leatherman allows following entities to bill medicare on her behalf.
Entity Name | South Mountain Community Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932388493 PECOS PAC ID: 6709843485 Enrollment ID: O20041214000808 |
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Entity Name | Leatherman Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972250009 PECOS PAC ID: 7416334685 Enrollment ID: O20220510001610 |
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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. Dr Gwenn Leatherman 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 Gwenn Leatherman, 118 E Oak Ridge Dr Ste 2000, Hagerstown, MD 21740-7890 Ph: (301) 678-1839 | Dr Gwenn Leatherman, 118 E Oak Ridge Dr Ste 2000, Hagerstown, MD 21740-7890 Ph: (016) 781-8393 |
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