Dr Joe Tre Landrum, DO is a medicare enrolled "Otolaryngology" physician in Ada, Oklahoma. He went to Oklahoma State University College Of Osteopathic Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Boogers R Us Pllc and his current practice location is
520 N Monte Vista Street, Suite B, Ada, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 421-6470.
Dr Joe Tre Landrum is licensed to practice in Oklahoma (license number 4310) 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 1366480998.
Physician's Profile
| Full Name | Dr Joe Tre Landrum |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 20 Years |
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| Location | 520 N Monte Vista Street, 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 Joe Tre Landrum attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 2004
NPI Data:
- NPI Number: 1366480998
- Provider Enumeration Date: 06/04/2006
- Last Update Date: 02/10/2014
Medicare PECOS Information:
- PECOS PAC ID: 4880614734
- Enrollment ID: I20051229000175
Medical Identifiers
Medical identifiers for Dr Joe Tre Landrum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366480998 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 4310 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Boogers R Us Pllc | 2769645571 | 3 |
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 Joe Tre Landrum allows following entities to bill medicare on his behalf.
| Entity Name | Boogers R Us Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871864439
PECOS PAC ID: 2769645571
Enrollment ID: O20120515000170 |
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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 Joe Tre 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 Joe Tre Landrum, DO
520 N Monte Vista Street, Suite B,
Ada, OK 74820
Ph: (580) 421-6470 | Dr Joe Tre Landrum, DO
520 N Monte Vista Street, Suite B,
Ada, OK 74820
Ph: (580) 421-6470 |
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