Dr Thomas Harold Landon, MD is a medicare enrolled "Urology" physician in Lake St Louis, Missouri. He went to R Franklin University Of Med & Sci/chicago Medical School and graduated in 1994 and has 30 years of diverse experience with area of expertise as Urology. He is a member of the group practice Ssm Medical Group Inc and his current practice location is
300 Medical Plz Ste 310, Lake St Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at
(636) 625-2662.
Dr Thomas Harold Landon is licensed to practice in Missouri (license number 2014012158) 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 1073568382.
Physician's Profile
| Full Name | Dr Thomas Harold Landon |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 30 Years |
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| Location | 300 Medical Plz Ste 310, Lake St Louis, Missouri |
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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. |
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Medical Education and Training:
- Dr Thomas Harold Landon attended and graduated from R Franklin University Of Med & Sci/chicago Medical School in 1994
NPI Data:
- NPI Number: 1073568382
- Provider Enumeration Date: 05/24/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2365478211
- Enrollment ID: I20141028001432
Medical Identifiers
Medical identifiers for Dr Thomas Harold Landon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073568382 | NPI | - | NPPES |
| 7845411 | Other | TN | CIGNA |
| P00004666 | Other | | RR MEDICARE |
| 3759065 | Other | | AETNA |
| 4057350 | Other | | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 2014012158 (Missouri) | Primary |
| 208800000X | Urology | 35561 (Tennessee) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ssm Medical Group Inc | 6608776299 | 496 |
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 Thomas Harold Landon allows following entities to bill medicare on his behalf.
| Entity Name | Ssm Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700966207
PECOS PAC ID: 6608776299
Enrollment ID: O20040729001034 |
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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 Thomas Harold Landon 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 Thomas Harold Landon, MD
Po Box 955534,
Saint Louis, MO 63195-5534
Ph: () - | Dr Thomas Harold Landon, MD
300 Medical Plz Ste 310,
Lake St Louis, MO 63367-1484
Ph: (636) 625-2662 |
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