Dr Keith Peter Landry, MD is a medicare enrolled "Family Medicine" physician in Cloverdale, Indiana. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2001 and has 23 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Putnam County Hospital and his current practice location is
51 East Market Street, Cloverdale, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 795-4242.
Dr Keith Peter Landry is licensed to practice in Indiana (license number 01057298A) 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 1073502670.
Physician's Profile
| Full Name | Dr Keith Peter Landry |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 23 Years |
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| Location | 51 East Market Street, Cloverdale, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Keith Peter Landry attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2001
NPI Data:
- NPI Number: 1073502670
- Provider Enumeration Date: 10/17/2005
- Last Update Date: 03/31/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082673215
- Enrollment ID: I20041005000208
Medical Identifiers
Medical identifiers for Dr Keith Peter Landry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073502670 | NPI | - | NPPES |
| 200818260F | Medicaid | IN | |
| 7289687 | Other | IN | AETNA |
| 000000361385 | Other | IN | ANTHEM BLUE CROSS & BLUE |
| 9339207 | Other | IN | CIGNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 01057298A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Putnam County Hospital | 1951396605 | 43 |
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 Keith Peter Landry allows following entities to bill medicare on his behalf.
| Entity Name | Putnam County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578608188
PECOS PAC ID: 1951396605
Enrollment ID: O20040420000945 |
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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 Keith Peter 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 |
|---|
Dr Keith Peter Landry, MD
Po Box 508,
Cloverdale, IN 46120-0508
Ph: (765) 795-4242 | Dr Keith Peter Landry, MD
51 East Market Street,
Cloverdale, IN 46120
Ph: (765) 795-4242 |
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