| Tre Landry, | |
|
4228 Houma Blvd Fl 3, Metairie, LA 70006-3000 | |
| (504) 503-4102 | |
| (504) 503-6737 |
| Full Name | Tre Landry |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 4228 Houma Blvd Fl 3, Metairie, Louisiana |
| 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 |
|---|---|---|---|
| 1851063150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 344931 (Louisiana) | Primary |
| 363A00000X | Physician Assistant | 0110008942 (Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Medical Center New Orleans | New orleans, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Medical Center Management Corporation | 7012150311 | 91 |
| Entity Name | East Jefferson Physicians Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922293372 PECOS PAC ID: 4587660402 Enrollment ID: O20090127000299 |
| Entity Name | Childrens Hospital Medical Practice Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821090713 PECOS PAC ID: 5597944579 Enrollment ID: O20110124000073 |
| Entity Name | University Medical Center Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083655567 PECOS PAC ID: 7012150311 Enrollment ID: O20130906000137 |
| Mailing Address | Practice Location Address |
|---|---|
| Tre Landry, 1100 Poydras St Ste 2500, New Orleans, LA 70163-2500 Ph: (504) 527-9953 | Tre Landry, 4228 Houma Blvd Fl 3, Metairie, LA 70006-3000 Ph: (504) 503-4102 |
Sumaiya Khan, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3916 Neyrey Dr, Metairie, LA 70002 Phone: 504-596-7229 |
Amy Alston, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4401 Veterans Memorial Blvd Ste 100, Metairie, LA 70006 Phone: 504-899-6652 |
Jessica Lynn Metzger, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2215 Veterans Memorial Blvd, Metairie, LA 70002 Phone: 504-838-3524 |
Ms. Alli Rene Perilloux, Physician Assistant Medicare: Medicare Enrolled Practice Location: 5028 Elmwood Pkwy, Metairie, LA 70003 Phone: 504-441-8728 |
Brooks Lee Vial, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3939 Houma Blvd Ste 21, Metairie, LA 70006 Phone: 985-212-4286 |
Char'tarian Wilson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2215 Veterans Memorial Blvd, Metairie, LA 70002 Phone: 504-838-3524 |
Marissa B Lejeune, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4421 Conlin St Ste 101, Metairie, LA 70006 Phone: 504-455-2002 Fax: 504-885-4383 |