Landis Bernota, is a
Student In An Organized Health Care Education/training Program based in Gaithersburg, Maryland. Landis Bernota is licensed to practice in NU (license number ) and her current practice location is
24117 Pecan Grove Ln, Gaithersburg, Maryland. She can be reached at her office (for appointments etc.) via phone at
(240) 204-4771.
NPI number for Landis Bernota is 1376465641 and her current mailing address is 24117 Pecan Grove Ln, Gaithersburg, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376465641.
Provider's Profile
| Full Name | Landis Bernota |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 24117 Pecan Grove Ln, Gaithersburg, Maryland |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376465641
- Provider Enumeration Date: 07/28/2026
- Last Update Date: 07/28/2026
Medical Identifiers
Medical identifiers for Landis Bernota such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376465641 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Primary |
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. Landis Bernota is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Landis Bernota, 24117 Pecan Grove Ln, Gaithersburg, MD 20882-3924 Ph: Not Available | Landis Bernota, 24117 Pecan Grove Ln, Gaithersburg, MD 20882-3924 Ph: (240) 204-4771 |
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