Mr William Wayne Landess, CRNA is a
Nurse Anesthetist, Certified Registered based in Grand Ledge, Michigan. Mr William Wayne Landess is licensed to practice in Michigan (license number 4704156475) and his current practice location is
16913 Erins Way, Grand Ledge, Michigan. He can be reached at his office (for appointments etc.) via phone at
(517) 627-7675.
NPI number for Mr William Wayne Landess is 1932291457 and his current mailing address is 16913 Erins Way, Grand Ledge, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932291457.
Provider's Profile
| Full Name | Mr William Wayne Landess |
|---|
| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 16913 Erins Way, Grand Ledge, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932291457
- Provider Enumeration Date: 09/29/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr William Wayne Landess such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932291457 | NPI | - | NPPES |
| WL156475 | Other | MI | BLUE CROSS BLUE SHIELD |
| 20000130 | Other | MI | PHYSICIAN'S HEALTH PLAN |
| 2070130 | Other | MI | PHP FAMILY CARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704156475 (Michigan) | Primary |
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 William Wayne Landess is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr William Wayne Landess, CRNA
16913 Erins Way,
Grand Ledge, MI 48837-9767
Ph: (517) 627-7675 | Mr William Wayne Landess, CRNA
16913 Erins Way,
Grand Ledge, MI 48837-9767
Ph: (517) 627-7675 |
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