| Dr Russell Paul Landry Iii, MD | |
|
651 Dunlop Lane, Clarksville, TN 37040 | |
| (713) 430-6095 | |
| Not Available |
| Full Name | Dr Russell Paul Landry Iii |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 9 Years |
| Location | 651 Dunlop Lane, Clarksville, Tennessee |
| 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 |
|---|---|---|---|
| 1194187179 | NPI | - | NPPES |
| 2414038 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 51961 (Kentucky) | Secondary |
| 207P00000X | Emergency Medicine | 62086 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jennie Stuart Medical Center | Hopkinsville, KY | Hospital |
| Tristar Horizon Medical Center | Dickson, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fep Of Kentucky Llc | 8123473626 | 21 |
| Emergency Medicine Services Of Tn, Pc | 3173989837 | 106 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Entity Name | Emergency Medicine Services Of Ky Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033816194 PECOS PAC ID: 9335505569 Enrollment ID: O20230515000823 |
| Entity Name | Fep Of Kentucky Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770266553 PECOS PAC ID: 8123473626 Enrollment ID: O20231018000380 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Russell Paul Landry Iii, MD 1303 Us Hwy 127 S Ste 402, Box 367, Frankfort, KY 40601 Ph: (713) 430-6095 | Dr Russell Paul Landry Iii, MD 651 Dunlop Lane, Clarksville, TN 37040 Ph: (713) 430-6095 |
John D Shields, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1771 Madison St, Clarksville, TN 37043 Phone: 931-552-6622 | |
Dr. Malcolm A Steele, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 651 Dunlop Ln, Clarksville, TN 37040 Phone: 931-502-1370 | |
Manickam Krishnamurthy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 651 Dunlop Ln, Clarksville, TN 37040 Phone: 931-502-1370 | |
Mark A Muiznieks, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 651 Dunlop Lane Clarksville, Clarksville, TN 37040 Phone: 931-502-1370 | |
Dr. Timothy L Obernuefemann, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2320 Wilma Rudolph Blvd, Clarksville, TN 37040 Phone: 931-645-1564 Fax: 931-645-3842 | |
Dr. James Willis Hickerson Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 651 Dunlop Ln, Clarksville, TN 37040 Phone: 931-502-1370 |