| Dyllan Landry, MD | |
|
1301 W 12th Ave Ste 301, Emporia, KS 66801-2590 | |
| (620) 343-2376 | |
| (620) 343-5987 |
| Full Name | Dyllan Landry |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 4 Years |
| Location | 1301 W 12th Ave Ste 301, Emporia, Kansas |
| 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 |
|---|---|---|---|
| 1477073575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | E-15410 (Arkansas) | Secondary |
| 208600000X | Surgery | 04-50964 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Northwest Arkansas | Rogers, AR | Hospital |
| Newman Regional Health | Emporia, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Northwest Arkansas Communities | 0648177873 | 296 |
| Newman Memorial County Hospital | 5193638526 | 52 |
| Entity Name | Mercy Health Northwest Arkansas Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265490916 PECOS PAC ID: 0648177873 Enrollment ID: O20031216000788 |
| Entity Name | Mercy Health Northwest Arkansas Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538460662 PECOS PAC ID: 0648177873 Enrollment ID: O20110406000912 |
| Mailing Address | Practice Location Address |
|---|---|
| Dyllan Landry, MD 1201 W 12th Ave, Emporia, KS 66801-2504 Ph: (620) 343-6800 | Dyllan Landry, MD 1301 W 12th Ave Ste 301, Emporia, KS 66801-2590 Ph: (620) 343-2376 |
Dr. Timothy Paul Harris, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1301 W 12th Ave Ste 301, Emporia, KS 66801 Phone: 620-343-2376 Fax: 620-342-0087 | |
Joseph Edward Bosiljevac Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2522 W 15th Ave, Emporia, KS 66801 Phone: 620-366-1151 | |
Matthew John Turner, M.D., M.S.P.H. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1301 W 12th Ave Ste 301, Emporia, KS 66801 Phone: 620-343-2376 |