Ms Carol Lynn Landry, CNM, FNP is a medicare enrolled "Advanced Practice Midwife" in Summerville, South Carolina. Her current practice location is
75 Springview Ln, Summerville, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 832-5096.
Ms Carol Lynn Landry is licensed to practice in Pennsylvania (license number RN350608L) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154309490.
Provider's Profile
| Full Name | Ms Carol Lynn Landry |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 75 Springview Ln, Summerville, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1154309490
- Provider Enumeration Date: 01/06/2006
- Last Update Date: 12/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 9436201472
- Enrollment ID: I20211004000813
Medical Identifiers
Medical identifiers for Ms Carol Lynn Landry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154309490 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | RN350608L (Pennsylvania) | 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. Ms Carol Lynn Landry allows following entities to bill medicare on her behalf.
| Entity Name | Tandem Health Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386630192
PECOS PAC ID: 3870575855
Enrollment ID: O20040603000514 |
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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. Ms Carol Lynn 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 |
|---|
Ms Carol Lynn Landry, CNM, FNP
75 Springview Ln,
Summerville, SC 29485-8154
Ph: (843) 832-5096 | Ms Carol Lynn Landry, CNM, FNP
75 Springview Ln,
Summerville, SC 29485-8154
Ph: (843) 832-5096 |
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