Landyn Lynn Clark, in Niceville, FL - Medicare Physical Therapist Provider

Landyn Lynn Clark, is a medicare enrolled "Physical Therapist" provider in Niceville, Florida. Her current practice location is 1950 Bluewater Blvd Ste 101, Niceville, Florida. You can reach out to her office (for appointments etc.) via phone at (508) 973-3348.

Landyn Lynn Clark is licensed to practice in Florida (license number PT42400) 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 1780149757.

Contact Information

	Landyn Lynn Clark,
	1950 Bluewater Blvd Ste 101, Niceville, FL 32578-3888
	(508) 973-3348
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Landyn Lynn Clark
Gender	Female
Speciality	Physical Therapist
Location	1950 Bluewater Blvd Ste 101, Niceville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780149757
Provider Enumeration Date: 02/04/2019
Last Update Date: 01/29/2025

Medicare PECOS Information:

PECOS PAC ID: 1951838044
Enrollment ID: I20241231003658

Medical Identifiers

Medical identifiers for Landyn Lynn Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780149757	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT42400 (Florida)	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. Landyn Lynn Clark allows following entities to bill medicare on her behalf.

Provider Name	Orthopedic & Sports Physical Therapy Center Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1881632008 PECOS PAC ID: 0941248397 Enrollment ID: O20050418000712

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. Landyn Lynn Clark 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
Landyn Lynn Clark, 1950 Bluewater Blvd Ste 101, Niceville, FL 32578-3888 Ph: (508) 973-3348	Landyn Lynn Clark, 1950 Bluewater Blvd Ste 101, Niceville, FL 32578-3888 Ph: (508) 973-3348

Reviews and Comments

Physical Therapist in Niceville, FL

Mr. Cory Marcus Scott, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1003 College Blvd W, Suite 1, Niceville, FL 32578 Phone: 850-862-1999
Tyler Belser Goodman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4554 E Highway 20, Niceville, FL 32578 Phone: 850-897-7772
Dawn A Brognano, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1950 Bluewater Blvd, Suite 101, Niceville, FL 32578 Phone: 850-897-3334 Fax: 850-897-7855
Mrs. Melissa Renee Duhaime, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1715 Lilaberry Ln, Niceville, FL 32578 Phone: 850-217-9088
Pamela Kay Steele, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4554 E Highway 20 Ste B, Niceville, FL 32578 Phone: 850-897-7772
Halie Quick, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4554 E Highway 20, Niceville, FL 32578 Phone: 850-897-7772 Fax: 888-308-1539
Rochelle Kandler, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1003 College Blvd W Ste 1, Niceville, FL 32578 Phone: 850-279-4660

Landyn Lynn Clark, - Medicare Physical Therapist in Niceville, FL