| Dr Dale Thomas Landry Jr, MD | |
|
1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6639 | |
| (850) 863-2153 | |
| (850) 315-9350 |
| Full Name | Dr Dale Thomas Landry Jr |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 16 Years |
| Location | 1034 Mar Walt Dr, Fort Walton Beach, Florida |
| 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 |
|---|---|---|---|
| 1518108588 | NPI | - | NPPES |
| 151CH | Other | FL | BCBS FL |
| APPLYING ATN 598515 | Other | FL | FL MEDICAID |
| Z170402 | Other | MEDICARE PTAN | |
| ME123092 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | ME 123092 (Florida) | Secondary |
| 207X00000X | Orthopaedic Surgery | ME123092 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sacred Heart Hospital On The Emerald Coast | Miramar beach, FL | Hospital |
| Fort Walton Beach Medical Center | Fort walton beach, FL | Hospital |
| Baptist Hospital | Pensacola, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Florida Surgeons, Pa | 2769381391 | 316 |
| Entity Name | North Florida Surgeons, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912953290 PECOS PAC ID: 2769381391 Enrollment ID: O20040102000629 |
| Entity Name | Orthopaedic Associates, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467589010 PECOS PAC ID: 5294823084 Enrollment ID: O20100610000553 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dale Thomas Landry Jr, MD 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6639 Ph: (850) 863-2153 | Dr Dale Thomas Landry Jr, MD 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6639 Ph: (850) 863-2153 |
Dr. Matthew Christopher Mai, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 928d Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-0332 | |
Dr. William R Marshall, MD PA Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547 Phone: 850-863-2153 Fax: 850-315-9350 | |
Dr. David Joseph Dean, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1034 Mar Walt Dr Unit 100, Fort Walton Beach, FL 32547 Phone: 850-863-2153 Fax: 850-863-8085 | |
Brandon Wade Cook, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1034 Mar Walt Dr Unit 100, Fort Walton Beach, FL 32547 Phone: 850-860-2153 Fax: 850-315-9350 | |
Dr. Pamela James Warner, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 341 Racetrack Rd Nw Ste C, Fort Walton Beach, FL 32547 Phone: 850-226-8112 Fax: 850-362-6068 | |
Dr. Jason W Thackeray, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547 Phone: 850-863-2153 Fax: 850-863-2885 | |
Leo C Chen, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 339 Racetrack Rd Nw, Suite 12, Fort Walton Beach, FL 32547 Phone: 850-864-3339 Fax: 850-864-1715 |