Dr Russell Paul Landry Iii, MD | |
651 Dunlop Lane, Clarksville, TN 37040 | |
(713) 430-6095 | |
Not Available |
Full Name | Dr Russell Paul Landry Iii |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 8 Years |
Location | 651 Dunlop Lane, Clarksville, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194187179 | NPI | - | NPPES |
2414038 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 51961 (Kentucky) | Secondary |
207P00000X | Emergency Medicine | 62086 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tristar Horizon Medical Center | Dickson, TN | Hospital |
Tennova Healthcare-clarksville | Clarksville, TN | Hospital |
Jennie Stuart Medical Center | Hopkinsville, KY | Hospital |
Tristar Hendersonville Medical Center | Hendersonville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Emergency Physicians Llc | 2466364997 | 516 |
Fep Of Kentucky Llc | 8123473626 | 21 |
Emergency Medicine Services Of Tn, Pc | 3173989837 | 69 |
Havely Springs Emergency Group, Pc | 6204298144 | 12 |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
Entity Name | Fep Of Kentucky Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770266553 PECOS PAC ID: 8123473626 Enrollment ID: O20231018000380 |
Mailing Address | Practice 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 |
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 |