Dr Landis Crockett, MD, MPH is a
Preventive Medicine - Public Health & General Preventive Medicine physician based in Quincy, Florida. Dr Landis Crockett is licensed to practice in Florida (license number ME37607) and his current practice location is 2964 Lakeview Point Rd, Quincy, Florida. He can be reached at his office (for appointments etc.) via phone at
(850) 627-2729.
NPI number for Dr Landis Crockett is 1134374150 and his current mailing address is 2964 Lakeview Point Rd, Quincy, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134374150.
Physician's Profile
| Full Name | Dr Landis Crockett |
|---|
| Gender | Male |
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| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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| Location | 2964 Lakeview Point Rd, Quincy, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134374150
- Provider Enumeration Date: 11/18/2008
- Last Update Date: 11/18/2008
Medical Identifiers
Medical identifiers for Dr Landis Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134374150 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | ME37607 (Florida) | 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 Landis Crockett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Landis Crockett, MD, MPH
2964 Lakeview Point Rd,
Quincy, FL 32351-0493
Ph: (850) 627-2729 | Dr Landis Crockett, MD, MPH
2964 Lakeview Point Rd,
Quincy, FL 32351-0493
Ph: (850) 627-2729 |
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