Gregory James Landry, MD | |
700 W Ironwood Dr Ste 350, Coeur D Alene, ID 83814-4487 | |
(208) 625-5222 | |
(208) 625-5223 |
Full Name | Gregory James Landry |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 33 Years |
Location | 700 W Ironwood Dr Ste 350, Coeur D Alene, Idaho |
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 |
---|---|---|---|
1700891223 | NPI | - | NPPES |
134280 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | MD17953 (Oregon) | Secondary |
2086S0129X | Surgery - Vascular Surgery | M-16279 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kootenai Health | Coeur d'alene, ID | Hospital |
Clearwater Valley Hospital & Clinics | Orofino, ID | Hospital |
St Marys Hospital And Clinics | Cottonwood, ID | Hospital |
Community Medical Center | Missoula, MT | Hospital |
Gritman Medical Center | Moscow, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kootenai Health Inc | 1355792276 | 330 |
Community Physicians Group | 8426370842 | 66 |
Entity Name | Kootenai Health, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230 |
Entity Name | Kootenai Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
Mailing Address | Practice Location Address |
---|---|
Gregory James Landry, MD 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-5222 | Gregory James Landry, MD 700 W Ironwood Dr Ste 350, Coeur D Alene, ID 83814-4487 Ph: (208) 625-5222 |
Dr. Lucas Aaron Anderson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 | |
Michael Thomas May, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 341, Coeur D Alene, ID 83814 Phone: 208-625-5200 Fax: 208-625-5201 | |
Dr. Robert Sumner West, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3621 W Fairway Dr, Coeur D Alene, ID 83815 Phone: 208-765-0714 Fax: 209-664-8238 | |
Dr. Edward Gerard Detar, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 341, Coeur D Alene, ID 83814 Phone: 208-625-5200 Fax: 208-625-5201 | |
Dr. Marcus Jewell Torgenson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 341, Coeur D Alene, ID 83814 Phone: 208-625-5200 Fax: 208-625-5201 | |
Benjamin Mandel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5085 Fax: 208-625-5731 | |
Matthew Lauritz Low, MD Surgery Medicare: Medicare Enrolled Practice Location: 700 W Ironwood Dr Ste 350, Coeur D Alene, ID 83814 Phone: 208-625-5222 Fax: 208-625-5223 |