Dr Keith Peter Landry, MD in Cloverdale, IN

Dr Keith Peter Landry, MD is a medicare enrolled "Family Medicine" physician in Cloverdale, Indiana. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2001 and has 23 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Putnam County Hospital and 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.

Contact Information

	Dr Keith Peter Landry, MD
	51 East Market Street, Cloverdale, IN 46120
	(765) 795-4242
	(765) 795-4456

Map and Direction

Physician's Profile

Full Name	Dr Keith Peter Landry
Gender	Male
Speciality	Family Practice
Experience	23 Years
Location	51 East Market Street, Cloverdale, Indiana
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 University Of Kansas School Of Med (kc/wich/sal) in 2001

NPI Data:

NPI Number: 1073502670
Provider Enumeration Date: 10/17/2005
Last Update Date: 03/31/2021

Medicare PECOS Information:

PECOS PAC ID: 4082673215
Enrollment ID: I20041005000208

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

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Intrepid Usa Healthcare Services	Terre haute, IN	Home health agency
Amedisys Home Health	Bloomington, IN	Home health agency
Putnam County Hospital	Greencastle, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Putnam County Hospital	1951396605	45

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. Dr Keith Peter Landry allows following entities to bill medicare on his behalf.

Entity Name	Putnam County Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578608188 PECOS PAC ID: 1951396605 Enrollment ID: O20040420000945

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

Dr Keith Peter Landry, MD - Medicare Family Practice in Cloverdale, IN