Larry Jackson Landry, MD in Melbourne, FL

Larry Jackson Landry, MD is a medicare enrolled "Urology" physician in Melbourne, Florida. His current practice location is 2200 W Eau Gallie Blvd, Suite 202a, Melbourne, Florida. You can reach out to his office (for appointments etc.) via phone at (321) 253-1992.

Larry Jackson Landry is licensed to practice in Florida (license number ME95172) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134194608.

Contact Information

	Larry Jackson Landry, MD
	2200 W Eau Gallie Blvd, Suite 202a, Melbourne, FL 32935-3166
	(321) 253-1992
	(321) 253-1844

Map and Direction

Physician's Profile

Full Name	Larry Jackson Landry
Gender	Male
Speciality	Urology
Location	2200 W Eau Gallie Blvd, Melbourne, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134194608
Provider Enumeration Date: 02/20/2006
Last Update Date: 04/08/2016

Medicare PECOS Information:

PECOS PAC ID: 6709894777
Enrollment ID: I20060403000254

Medical Identifiers

Medical identifiers for Larry Jackson Landry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134194608	NPI	-	NPPES
325257	Other	FL	WELLCARE
557262	Other	FL	AETNA
P00334279	Other	FL	RAILROAD MEDICARE
274787100	Medicaid	FL
2836813001	Other	FL	CIGNA
37428	Other	FL	BLUE CROSS BLUE SHIELD
1226087	Other	FL	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	ME95172 (Florida)	Primary

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. Larry Jackson Landry allows following entities to bill medicare on his behalf.

Entity Name	Steward Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356654495 PECOS PAC ID: 2860688728 Enrollment ID: O20170602001215

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. Larry Jackson 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
Larry Jackson Landry, MD 240 N Wickham Rd, Ste 104, Melbourne, FL 32935-8663 Ph: (321) 253-1992	Larry Jackson Landry, MD 2200 W Eau Gallie Blvd, Suite 202a, Melbourne, FL 32935-3166 Ph: (321) 253-1992

Reviews and Comments

Urology Doctors in Melbourne, FL

Dr. Robert C Allen Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775
Thomas D Fields, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1223 Gateway Drive, Melbourne, FL 32901 Phone: 321-725-4500 Fax: 321-768-0039
Matei T Andreoiu, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 8725 N Wickham Rd Ste 202, Melbourne, FL 32940 Phone: 321-434-9528 Fax: 321-434-9529
Dr. Steven O Bossinger, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775
Emily Fell Kelly, MD Urology Medicare: Medicare Enrolled Practice Location: 1223 Gateway Dr Ste 2a, Melbourne, FL 32901 Phone: 321-361-5567 Fax: 321-951-3124
Dr. Douglas P Sorensen, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 200 Michigan Ave, Melbourne, FL 32901 Phone: 321-724-4400 Fax: 321-724-1139

Larry Jackson Landry, MD - Medicare Urology in Melbourne, FL