Blake C Landry, MD is a medicare enrolled "Specialist" physician in Slidell, Louisiana. His current practice location is
2365 Gause Blvd E Ste E, Slidell, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(985) 643-1194.
Blake C Landry is licensed to practice in Louisiana (license number 022661) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417953597.
Physician's Profile
Full Name | Blake C Landry |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 2365 Gause Blvd E Ste E, Slidell, Louisiana |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Blake C Landry attended and graduated from in
NPI Data:
- NPI Number: 1417953597
- Provider Enumeration Date: 06/23/2005
- Last Update Date: 12/10/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Blake C Landry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417953597 | NPI | - | NPPES |
720847461 0009 | Other | LA | CIGNA |
0005507718 | Other | LA | AETNA |
1494895 | Medicaid | LA | |
153236130118 | Other | LA | HUMANA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 022661 (Louisiana) | Secondary |
174400000X | Specialist | 022661 (Louisiana) | 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. Blake C 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 |
Blake C Landry, MD 2365 Gause Blvd E Ste E, Slidell, LA 70461-4142 Ph: (985) 643-1194 | Blake C Landry, MD 2365 Gause Blvd E Ste E, Slidell, LA 70461-4142 Ph: (985) 643-1194 |
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