John Joseph Letzo, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Clymer, New York. His current practice location is
354 Clymer Corry Rd, Clymer, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 355-2248.
John Joseph Letzo is licensed to practice in New York (license number F354838) 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 1114757903.
Provider's Profile
| Full Name | John Joseph Letzo |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 354 Clymer Corry Rd, Clymer, New York |
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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: 1114757903
- Provider Enumeration Date: 08/06/2024
- Last Update Date: 08/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 0143235358
- Enrollment ID: I20240822003284
Medical Identifiers
Medical identifiers for John Joseph Letzo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114757903 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | F354838 (New York) | 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. John Joseph Letzo allows following entities to bill medicare on his behalf.
| Entity Name | Corry Memorial Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255922043
PECOS PAC ID: 3971581174
Enrollment ID: O20230221000109 |
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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. John Joseph Letzo 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 |
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John Joseph Letzo, CRNP
1 Lecom Pl,
Erie, PA 16505-2571
Ph: (814) 868-2529 | John Joseph Letzo, CRNP
354 Clymer Corry Rd,
Clymer, NY 14724-9701
Ph: (716) 355-2248 |
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