Lynnette Martiana Leffall, DO in Mansfield, TX

Lynnette Martiana Leffall, DO is a medicare enrolled "Pediatrics" physician in Mansfield, Texas. Her current practice location is 701 Matlock Rd, Mansfield, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 453-5437.

Lynnette Martiana Leffall is licensed to practice in Texas (license number U2915) 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 1467072421.

Contact Information

	Lynnette Martiana Leffall, DO
	701 Matlock Rd, Mansfield, TX 76063-9164
	(817) 453-5437
	(817) 453-2714

Map and Direction

Physician's Profile

Full Name	Lynnette Martiana Leffall
Gender	Female
Speciality	Pediatrics
Location	701 Matlock Rd, Mansfield, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467072421
Provider Enumeration Date: 04/20/2020
Last Update Date: 09/12/2023

Medicare PECOS Information:

PECOS PAC ID: 9739540113
Enrollment ID: I20230801003878

Medical Identifiers

Medical identifiers for Lynnette Martiana Leffall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467072421	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	U2915 (Texas)	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. Lynnette Martiana Leffall allows following entities to bill medicare on her behalf.

Entity Name	Cook Childrens Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800

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. Lynnette Martiana Leffall 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
Lynnette Martiana Leffall, DO Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483	Lynnette Martiana Leffall, DO 701 Matlock Rd, Mansfield, TX 76063-9164 Ph: (817) 453-5437

Reviews and Comments

Pediatrics Doctors in Mansfield, TX

Katrina L Willie-musoma, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2800 E Broad St Ste 100, Mansfield, TX 76063 Phone: 817-557-5437 Fax: 817-539-0476
Clive G Daniels, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Matlock Rd, Mansfield, TX 76063 Phone: 817-453-5437 Fax: 817-453-2714
Dr. Naima Garrett, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1759 Broad Park Cir S Ste 201, Mansfield, TX 76063 Phone: 682-341-3910 Fax: 682-400-1288
Julie Hong, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1759 Broad Park Circle S, Suite 201 And 205, Mansfield, TX 76063 Phone: 682-341-3910 Fax: 682-400-1288
Matthew Raymond Lussier, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Matlock Rd, Mansfield, TX 76063 Phone: 817-453-5437
Linda K Phan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 252 Matlock Rd Ste 300, Mansfield, TX 76063 Phone: 817-557-5473 Fax: 817-539-0476
Melvin T Joki, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Matlock Rd, Mansfield, TX 76063 Phone: 817-453-5437 Fax: 817-453-2714

Lynnette Martiana Leffall, DO - Medicare Pediatrics in Mansfield, TX