Mr Clint L Vanlandingham, DPM is a medicare enrolled "Podiatrist" in Poplar Bluff, Missouri. He went to Barry University School Of Podiatric Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Podiatry. His current practice location is
2600 Kanell Blvd, Poplar Bluff, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 785-4546.
Mr Clint L Vanlandingham is licensed to practice in Missouri (license number 2004001321) 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 1508838566.
Provider's Profile
| Full Name | Mr Clint L Vanlandingham |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 22 Years |
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| Location | 2600 Kanell Blvd, Poplar Bluff, 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:
- Mr Clint L Vanlandingham attended and graduated from Barry University School Of Podiatric Medicine in 2002
NPI Data:
- NPI Number: 1508838566
- Provider Enumeration Date: 02/03/2006
- Last Update Date: 01/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 7719961937
- Enrollment ID: I20040615001819
Medical Identifiers
Medical identifiers for Mr Clint L Vanlandingham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508838566 | NPI | - | NPPES |
| 309166510 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 2014037662 (Missouri) | Secondary |
| 213E00000X | Podiatrist | 2004001321 (Missouri) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 2004001321 (Missouri) | Secondary |
Medical Facilities Affiliation
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. Mr Clint L Vanlandingham 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 |
|---|
Mr Clint L Vanlandingham, DPM
2600 Kanell Blvd,
Poplar Bluff, MO 63901-3001
Ph: (573) 785-4546 | Mr Clint L Vanlandingham, DPM
2600 Kanell Blvd,
Poplar Bluff, MO 63901-3001
Ph: (573) 785-4546 |
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