Dr Russell Paul Landry Iii, MD - Medicare Emergency Medicine in Clarksville, TN

Dr Russell Paul Landry Iii, MD is a medicare enrolled "Emergency Medicine" physician in Clarksville, Tennessee. He went to University Of Vermont College Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Southeastern Emergency Physicians Llc, Fep Of Kentucky Llc, Emergency Medicine Services Of Tn, Pc, Havely Springs Emergency Group, Pc and his current practice location is 651 Dunlop Lane, Clarksville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (713) 430-6095.

Dr Russell Paul Landry Iii is licensed to practice in Tennessee (license number 62086) 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 1194187179.

Contact Information

Dr Russell Paul Landry Iii, MD
651 Dunlop Lane,
Clarksville, TN 37040
(713) 430-6095
Not Available

Map and Direction




Physician's Profile

Full NameDr Russell Paul Landry Iii
GenderMale
SpecialityEmergency Medicine
Experience8 Years
Location651 Dunlop Lane, Clarksville, Tennessee
Accepts Medicare AssignmentsYes. 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 Russell Paul Landry Iii attended and graduated from University Of Vermont College Of Medicine in 2016
  NPI Data:
  • NPI Number: 1194187179
  • Provider Enumeration Date: 03/28/2016
  • Last Update Date: 08/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4880986207
  • Enrollment ID: I20190513001164

Medical Identifiers

Medical identifiers for Dr Russell Paul Landry Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194187179NPI-NPPES
2414038MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 51961 (Kentucky)Secondary
207P00000XEmergency Medicine 62086 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tristar Horizon Medical CenterDickson, TNHospital
Tennova Healthcare-clarksvilleClarksville, TNHospital
Jennie Stuart Medical CenterHopkinsville, KYHospital
Tristar Hendersonville Medical CenterHendersonville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Emergency Physicians Llc2466364997516
Fep Of Kentucky Llc812347362621
Emergency Medicine Services Of Tn, Pc317398983769
Havely Springs Emergency Group, Pc620429814412

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 Russell Paul Landry Iii allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050302000285
Entity NameFep Of Kentucky Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770266553
PECOS PAC ID: 8123473626
Enrollment ID: O20231018000380

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 Russell Paul Landry Iii 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 AddressPractice Location Address
Dr Russell Paul Landry Iii, MD
1303 Us Hwy 127 S Ste 402, Box 367,
Frankfort, KY 40601

Ph: (713) 430-6095
Dr Russell Paul Landry Iii, MD
651 Dunlop Lane,
Clarksville, TN 37040

Ph: (713) 430-6095

Reviews and Comments


Emergency Medicine Doctors in Clarksville, TN

John D Shields, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1771 Madison St, Clarksville, TN 37043
Phone: 931-552-6622    
Dr. Malcolm A Steele, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 651 Dunlop Ln, Clarksville, TN 37040
Phone: 931-502-1370    
Manickam Krishnamurthy, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 651 Dunlop Ln, Clarksville, TN 37040
Phone: 931-502-1370    
Mark A Muiznieks, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 651 Dunlop Lane Clarksville, Clarksville, TN 37040
Phone: 931-502-1370    
Dr. Timothy L Obernuefemann, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2320 Wilma Rudolph Blvd, Clarksville, TN 37040
Phone: 931-645-1564    Fax: 931-645-3842
Dr. James Willis Hickerson Jr., MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 651 Dunlop Ln, Clarksville, TN 37040
Phone: 931-502-1370    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.