Jessica Lynn Landor, ARNP FNP-C is a medicare enrolled "Family Medicine" physician in Lake Tapps, Washington. Her current practice location is
2910 184th Ave E, Lake Tapps, Washington. You can reach out to her office (for appointments etc.) via phone at
(518) 588-4184.
Jessica Lynn Landor is licensed to practice in Washington (license number ARNP.AP.61405382-NP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548976798.
Physician's Profile
Full Name | Jessica Lynn Landor |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 2910 184th Ave E, Lake Tapps, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548976798
- Provider Enumeration Date: 01/30/2023
- Last Update Date: 02/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193183762
- Enrollment ID: I20230614002952
Medical Identifiers
Medical identifiers for Jessica Lynn Landor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548976798 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | ARNP.AP.61405382-NP (Washington) | 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. Jessica Lynn Landor allows following entities to bill medicare on her behalf.
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
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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. Jessica Lynn Landor 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 |
Jessica Lynn Landor, ARNP FNP-C 2910 184th Ave E, Lake Tapps, WA 98391-9420 Ph: (518) 588-4184 | Jessica Lynn Landor, ARNP FNP-C 2910 184th Ave E, Lake Tapps, WA 98391-9420 Ph: (518) 588-4184 |
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