Dr Cord Tanner Landrum, DC, PA-C - Medicare in Ada, OK

Dr Cord Tanner Landrum, DC, PA-C is a medicare enrolled "Physician Assistant" provider in Ada, Oklahoma. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Central Oklahoma Family Medical Center Inc, Quickcare Aprn-cnp, Llc and his current practice location is 905 Colony Dr, Ada, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 436-5111.

Dr Cord Tanner Landrum is licensed to practice in Oklahoma (license number 3003) 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 1801986740.

Contact Information

Dr Cord Tanner Landrum, DC, PA-C
905 Colony Dr,
Ada, OK 74820-2329
(580) 436-5111
(580) 436-1159



Healthcare Provider's Profile

Full NameDr Cord Tanner Landrum
GenderMale
SpecialityPhysician Assistant
Experience6 Years
Location905 Colony Dr, Ada, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Cord Tanner Landrum graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1801986740
  • Provider Enumeration Date: 10/13/2006
  • Last Update Date: 11/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0042217853
  • Enrollment ID: I20190115003417

Medical Identifiers

Medical identifiers for Dr Cord Tanner Landrum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801986740NPI-NPPES
3003OtherOKOKLAHOMA BOARD OF MEDICAL LICENSURE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 3744 (Oklahoma)Secondary
363A00000XPhysician Assistant 3003 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Hospital AdaAda, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Central Oklahoma Family Medical Center Inc993118968548
Quickcare Aprn-cnp, Llc165863781411

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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 Cord Tanner 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 AddressPractice Location Address
Dr Cord Tanner Landrum, DC, PA-C
527 W 3rd St,
Konawa, OK 74849-1415

Ph: (580) 925-3286
Dr Cord Tanner Landrum, DC, PA-C
905 Colony Dr,
Ada, OK 74820-2329

Ph: (580) 436-5111

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