Dr Landon Roussel, MD is a medicare enrolled "Internal Medicine" physician in Canyon Lake, Texas. He graduated from medical school in 2013 and has 13 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Gulf Coast Physician Services, Pllc, Peacehealth, Rural Physicians Group-pannu Pllc and his current practice location is
1885 Fm 2673 # H112, Canyon Lake, Texas. You can reach out to his office (for appointments etc.) via phone at
(206) 786-5171.
Dr Landon Roussel is licensed to practice in Washington (license number 61493897) 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 1417397340.
Physician's Profile
| Full Name | Dr Landon Roussel |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 13 Years |
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| Location | 1885 Fm 2673 # H112, Canyon Lake, Texas |
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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 Landon Roussel graduated from medical school in 2013
NPI Data:
- NPI Number: 1417397340
- Provider Enumeration Date: 06/25/2013
- Last Update Date: 05/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 9133419260
- Enrollment ID: I20250311001354
Medical Identifiers
Medical identifiers for Dr Landon Roussel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417397340 | NPI | - | NPPES |
| 61493892 | Other | WA | LICENSE |
| 187360 | Other | AK | LICENSE |
| V2929 | Other | TX | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 255884 (Massachusetts) | Secondary |
| 207R00000X | Internal Medicine | 61493897 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Gulf Coast Physician Services, Pllc | 7214388826 | 100 |
| Peacehealth | 9436067618 | 68 |
| Rural Physicians Group-pannu Pllc | 0345467486 | 132 |
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 Landon Roussel allows following entities to bill medicare on his behalf.
| Entity Name | Gulf Coast Physician Services, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922889187
PECOS PAC ID: 7214388826
Enrollment ID: O20240108006134 |
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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 Landon Roussel 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 Landon Roussel, MD
1885 Fm 2673 # H112,
Canyon Lake, TX 78133-4765
Ph: (206) 786-5171 | Dr Landon Roussel, MD
1885 Fm 2673 # H112,
Canyon Lake, TX 78133-4765
Ph: (206) 786-5171 |
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