Dr Keith Peter Landry, MD is a medicare enrolled "Family Medicine" physician in Cloverdale, Indiana. His current practice location is
51 East Market Street, Cloverdale, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 795-4242.
Dr Keith Peter Landry is licensed to practice in Indiana (license number 01057298A) 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 1073502670.
Physician's Profile
Full Name | Dr Keith Peter Landry |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 51 East Market Street, Cloverdale, Indiana |
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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:
- Dr Keith Peter Landry attended and graduated from in
NPI Data:
- NPI Number: 1073502670
- Provider Enumeration Date: 10/17/2005
- Last Update Date: 03/31/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Keith Peter Landry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073502670 | NPI | - | NPPES |
200818260F | Medicaid | IN | |
7289687 | Other | IN | AETNA |
000000361385 | Other | IN | ANTHEM BLUE CROSS & BLUE |
9339207 | Other | IN | CIGNA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 01057298A (Indiana) | 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 Keith Peter 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 |
Dr Keith Peter Landry, MD Po Box 508, Cloverdale, IN 46120-0508 Ph: (765) 795-4242 | Dr Keith Peter Landry, MD 51 East Market Street, Cloverdale, IN 46120 Ph: (765) 795-4242 |
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