John C Leatherman, MD | |
400 Wyandotte Pl, Ramona, OK 74061-3678 | |
(918) 287-1310 | |
(918) 287-1727 |
Full Name | John C Leatherman |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 41 Years |
Location | 400 Wyandotte Pl, Ramona, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295779460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 17649 (Oklahoma) | Secondary |
207Q00000X | Family Medicine | 17649 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cherokee Nation W W Hastings Indian Hospital | Tahlequah, OK | Hospital |
Jane Phillips Memorial Medical Center, Inc | Bartlesville, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cherokee Nation | 5799698742 | 361 |
Entity Name | Cherokee Nation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
Mailing Address | Practice Location Address |
---|---|
John C Leatherman, MD Po Box 420, Ramona, OK 74061-0420 Ph: (918) 536-1024 | John C Leatherman, MD 400 Wyandotte Pl, Ramona, OK 74061-3678 Ph: (918) 287-1310 |
Dr. Kelly M. Humpherys, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Wyandotte, Ramona, OK 74061 Phone: 918-536-2104 Fax: 918-536-2203 | |
Dr. Scott Robert Kenney, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Wyandotte Ave, Ramona, OK 74061 Phone: 918-536-2104 |