| Robert Keith Landis, CRNA | |
|
8292 S Ridge Dr, Macungie, PA 18062-9138 | |
| (610) 966-3163 | |
| Not Available |
| Full Name | Robert Keith Landis |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 36 Years |
| Location | 8292 S Ridge Dr, Macungie, Pennsylvania |
| 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 |
|---|---|---|---|
| 1922040062 | NPI | - | NPPES |
| 1579397 | Other | PA | HIGHMARK |
| 2258727000 | Other | PA | INDEPENDENCE BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN-254765L (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 041740 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| College Heights Endoscopy Center Llc | 2062468507 | 3 |
| Eastern Pennsylvania Endoscopy Center, Llc | 4587994595 | 13 |
| Nazareth Endoscopy Center, Llc | 6002245776 | 12 |
| Amsurg Lewes Anesthesia Llc | 6507003654 | 5 |
| Entity Name | Lehigh Valley Anesthesia Services, P. C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730174731 PECOS PAC ID: 8820992183 Enrollment ID: O20031120000076 |
| Entity Name | College Heights Endoscopy Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578525515 PECOS PAC ID: 2062468507 Enrollment ID: O20050421000684 |
| Entity Name | Ams Pennsylvania Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790238368 PECOS PAC ID: 7315235058 Enrollment ID: O20161012000389 |
| Entity Name | Eastern Pennsylvania Endoscopy Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972153997 PECOS PAC ID: 4587994595 Enrollment ID: O20190918000050 |
| Entity Name | Nazareth Endoscopy Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508400920 PECOS PAC ID: 6002245776 Enrollment ID: O20200331002928 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Keith Landis, CRNA 8292 S Ridge Dr, Macungie, PA 18062-9138 Ph: (610) 966-3163 | Robert Keith Landis, CRNA 8292 S Ridge Dr, Macungie, PA 18062-9138 Ph: (610) 966-3163 |