Ian Landis, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Palm Bay, Florida. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 1969 and has 55 years of diverse experience with area of expertise as Diagnostic Radiology. His current practice location is
5201 Babcock St Ne, Suite 5, Palm Bay, Florida. You can reach out to his office (for appointments etc.) via phone at
(321) 676-5323.
Ian Landis is licensed to practice in Florida (license number OS0004065) 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 1275622466.
Physician's Profile
| Full Name | Ian Landis |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 55 Years |
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| Location | 5201 Babcock St Ne, Palm Bay, Florida |
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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:
- Ian Landis attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 1969
NPI Data:
- NPI Number: 1275622466
- Provider Enumeration Date: 10/12/2006
- Last Update Date: 11/28/2007
Medicare PECOS Information:
- PECOS PAC ID: 3678469285
- Enrollment ID: I20040223000244
Medical Identifiers
Medical identifiers for Ian Landis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275622466 | NPI | - | NPPES |
| 102370 | Other | FL | AVMED |
| 288660 | Other | FL | AMERIGROUP |
| OS0004065 | Other | FL | WORKERS COMPENSATION |
| 1488395 | Other | FL | UNITED HEALTHCARE |
| 0782103 | Other | FL | CIGNA |
| 17030 | Other | FL | STAYWELL/HEALTHEASE |
| V2489 | Other | FL | BCBS OF FLORIDA |
| 16-00554 | Other | FL | UNITEDHEALTHCARE MEDIPASS |
| 820868 | Other | FL | AETNA |
| FDA 155978 | Other | FL | EMBRACED PROGRAM |
| 1209448 | Other | FL | FIRST HEALTH/MAIL HANDLER |
| 40016 | Other | FL | FLORIDIANCARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | OS0004065 (Florida) | Primary |
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. Ian Landis allows following entities to bill medicare on his behalf.
| Entity Name | Neuroskeletal Imaging Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639163975
PECOS PAC ID: 6204865223
Enrollment ID: O20050810000711 |
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| Entity Name | Florida Diagnostic Imaging Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356305767
PECOS PAC ID: 8325294176
Enrollment ID: O20120809000476 |
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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. Ian Landis 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 |
|---|
Ian Landis, DO
215 Riverway Dr,
Vero Beach, FL 32963-2637
Ph: (772) 231-6170 | Ian Landis, DO
5201 Babcock St Ne, Suite 5,
Palm Bay, FL 32905-4637
Ph: (321) 676-5323 |
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