Dr Ivan R Landan, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Norton Shores, Michigan. His current practice location is
557 Seminole Rd, Norton Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 722-7510.
Dr Ivan R Landan is licensed to practice in Michigan (license number 048973) 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 1659341295.
Physician's Profile
| Full Name | Dr Ivan R Landan |
|---|
| Gender | Male |
|---|
| Speciality | Psychiatry & Neurology - Neurology |
|---|
| Location | 557 Seminole Rd, Norton Shores, Michigan |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1659341295
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 01/08/2013
Medicare PECOS Information:
- PECOS PAC ID: 8426103102
- Enrollment ID: I20090901000594
Medical Identifiers
Medical identifiers for Dr Ivan R Landan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659341295 | NPI | - | NPPES |
| 2776688 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 048973 (Michigan) | 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. Dr Ivan R Landan allows following entities to bill medicare on his behalf.
| Entity Name | Northland Radiology Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1386804060
PECOS PAC ID: 7719884741
Enrollment ID: O20040214000016 |
|---|
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 Ivan R Landan 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 |
|---|
Dr Ivan R Landan, MD
557 Seminole Rd,
Norton Shores, MI 49444-3719
Ph: (231) 722-7510 | Dr Ivan R Landan, MD
557 Seminole Rd,
Norton Shores, MI 49444-3719
Ph: (231) 722-7510 |
Reviews and Comments