| Ian Landis, | |
|
1600 Sw Archer Road, Gainesville, FL 32610-3001 | |
| (352) 265-0291 | |
| Not Available |
| Full Name | Ian Landis |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 6 Years |
| Location | 1600 Sw Archer Road, Gainesville, Florida |
| 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 |
|---|---|---|---|
| 1699394486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 97785 (South Carolina) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | ME173925 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uf Health Shands Hospital | Gainesville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Clinical Practice Association Inc | 0345146254 | 1886 |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Entity Name | Cheyenne Radiology Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023056082 PECOS PAC ID: 1951293844 Enrollment ID: O20220504001941 |
| Entity Name | Gem State Radiology LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083661508 PECOS PAC ID: 9335044833 Enrollment ID: O20230626000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Landis, Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304 | Ian Landis, 1600 Sw Archer Road, Gainesville, FL 32610-3001 Ph: (352) 265-0291 |
Dr. Will F Williams, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6716 Nw 11th Place, Ste 200, Gainesville, FL 32605 Phone: 352-331-9729 Fax: 352-331-0136 |
Patricia Perdigon Moser, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0291 Fax: 352-265-0279 |
Roya Rezvani Habibabadi, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3970 Sw 24th Ave Apt 401, Gainesville, FL 32607 Phone: 443-440-0336 |
Dr. Sean Joseph Brennan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1601 Sw Archer Rd, Gainesville, FL 32608 Phone: 352-376-1611 |
Erica May, RT(R)(CT) Radiology Medicare: Not Enrolled in Medicare Practice Location: 205 Se 16th Ave Apt 6d, Gainesville, FL 32601 Phone: 219-218-1829 |
Dr. Alexandre Dias Mancano, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0104 |
Giovanni Brondani Torri, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0291 |