Dr Gennady Landa, DDS, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" physician in Lancaster, California. His current practice location is
44441 16th St W Ste 103, Lancaster, California. You can reach out to his office (for appointments etc.) via phone at
(661) 945-4040.
Dr Gennady Landa is licensed to practice in California (license number 53917) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639334212.
Physician's Profile
Full Name | Dr Gennady Landa |
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Gender | Male |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
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Location | 44441 16th St W Ste 103, Lancaster, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639334212
- Provider Enumeration Date: 07/23/2008
- Last Update Date: 12/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315239324
- Enrollment ID: I20160712002811
Medical Identifiers
Medical identifiers for Dr Gennady Landa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639334212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | A115339 (California) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 53917 (California) | 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. Dr Gennady Landa 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 |
Dr Gennady Landa, DDS, MD 44441 16th St W Ste 103, Lancaster, CA 93534-2873 Ph: (661) 945-4040 | Dr Gennady Landa, DDS, MD 44441 16th St W Ste 103, Lancaster, CA 93534-2873 Ph: (661) 945-4040 |
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