Dr Matthew Landeen, DO is a medicare enrolled "Family Medicine" physician in Sallisaw, Oklahoma. His current practice location is
301 S J T Stites St Ste T, Sallisaw, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(187) 759-9150.
Dr Matthew Landeen is licensed to practice in Oklahoma (license number 8504) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932787413.
Physician's Profile
| Full Name | Dr Matthew Landeen |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 301 S J T Stites St Ste T, Sallisaw, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1932787413
- Provider Enumeration Date: 03/29/2021
- Last Update Date: 09/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 0143621094
- Enrollment ID: I20230921002741
Medical Identifiers
Medical identifiers for Dr Matthew Landeen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932787413 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 2023014704 (Missouri) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | 8504 (Oklahoma) | 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 Matthew Landeen allows following entities to bill medicare on his behalf.
| Entity Name | Macon County Samaritan Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548215106
PECOS PAC ID: 1456261395
Enrollment ID: O20040121000179 |
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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 Matthew Landeen 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 Matthew Landeen, DO
301 S J T Stites St Ste T,
Sallisaw, OK 74955-9302
Ph: (918) 775-9150 | Dr Matthew Landeen, DO
301 S J T Stites St Ste T,
Sallisaw, OK 74955-9302
Ph: (187) 759-9150 |
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