Alicia M Landry, MD in Douglasville, GA

Alicia M Landry, MD is a medicare enrolled "Pediatrics" physician in Douglasville, Georgia. Her current practice location is 6875 Douglas Blvd, Suite A, Douglasville, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 365-0966.

Alicia M Landry is licensed to practice in Georgia (license number 58060) 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 1639142003.

Contact Information

	Alicia M Landry, MD
	6875 Douglas Blvd, Suite A, Douglasville, GA 30135-7133
	(404) 365-0966
	Not Available

Map and Direction

Physician's Profile

Full Name	Alicia M Landry
Gender	Female
Speciality	Pediatrics
Location	6875 Douglas Blvd, Douglasville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639142003
Provider Enumeration Date: 02/08/2006
Last Update Date: 01/07/2022

Medicare PECOS Information:

PECOS PAC ID: 2769649508
Enrollment ID: I20120206000469

Medical Identifiers

Medical identifiers for Alicia M Landry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639142003	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	14917 (Louisiana)	Secondary
208000000X	Pediatrics	58060 (Georgia)	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. Alicia M Landry allows following entities to bill medicare on her behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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. Alicia M Landry 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
Alicia M Landry, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 364-7070	Alicia M Landry, MD 6875 Douglas Blvd, Suite A, Douglasville, GA 30135-7133 Ph: (404) 365-0966

Reviews and Comments

Pediatrics Doctors in Douglasville, GA

Dr. Abolhassan Yamin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8503 Campbellton St, Douglasville, GA 30134 Phone: 770-949-9985 Fax: 770-949-6213
Dr. Bridget Dauphin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6095 Professional Pkwy, Suite 100, Douglasville, GA 30134 Phone: 770-920-2255 Fax: 770-920-9963
Dr. Suzanne Lee Fox, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6095 Professional Pkwy, Suite 100, Douglasville, GA 30134 Phone: 770-920-2255 Fax: 770-920-9963
Dr. Eteshamul Huque, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6095 Professional Pkwy, Suite 100, Douglasville, GA 30134 Phone: 770-920-2255 Fax: 770-920-9963
Kolade Kehinde Obajuluwa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6043 Prestley Mill Rd Ste E, Douglasville, GA 30134 Phone: 770-920-2255 Fax: 770-489-3951
Edgar Melendez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8355 Cherokee Blvd Ste 200, Douglasville, GA 30134 Phone: 678-400-5106
Yassmin Ahmed Yousef, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6095 Professional Pkwy, Suite 100, Douglasville, GA 30134 Phone: 770-920-2255 Fax: 770-920-9963

Alicia M Landry, MD - Medicare Pediatrics in Douglasville, GA