Mr Mark J Landry, NP - Medicare Nurse Practitioner in Lafayette, LA

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Mr Mark J Landry, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Lafayette, Louisiana. His current practice location is 3621 Ambassador Caffery Pkwy Ste 100, Lafayette, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 534-4410.

Mr Mark J Landry is licensed to practice in Louisiana (license number AP04519) 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 1679518823.

Contact Information

Mr Mark J Landry, NP
3621 Ambassador Caffery Pkwy Ste 100,
Lafayette, LA 70503-5132
(337) 534-4410
Not Available

Map and Direction




Physician's Profile

Full NameMr Mark J Landry
GenderMale
SpecialityNurse Practitioner - Family
Location3621 Ambassador Caffery Pkwy Ste 100, Lafayette, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679518823
  • Provider Enumeration Date: 06/19/2006
  • Last Update Date: 02/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941253504
  • Enrollment ID: I20050224000661

Medical Identifiers

Medical identifiers for Mr Mark J Landry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679518823NPI-NPPES
1467430MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine RN095042 (Louisiana)Secondary
363LF0000XNurse Practitioner - Family AP04519 (Louisiana)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. Mr Mark J Landry allows following entities to bill medicare on his behalf.
Entity NameMinute Med Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750638391
PECOS PAC ID: 6103077672
Enrollment ID: O20121109000088
Entity NameKp Medical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407315617
PECOS PAC ID: 6204166705
Enrollment ID: O20190926000585
Entity NameLsmd Medical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720623010
PECOS PAC ID: 9931537305
Enrollment ID: O20200318000564
Entity NamePhca Houma Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356973077
PECOS PAC ID: 8426478967
Enrollment ID: O20201021002435

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. Mr Mark J 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 AddressPractice Location Address
Mr Mark J Landry, NP
2851 Johnston St,
Lafayette, LA 70503-3243

Ph: (337) 456-3519		Mr Mark J Landry, NP
3621 Ambassador Caffery Pkwy Ste 100,
Lafayette, LA 70503-5132

Ph: (337) 534-4410

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.