Robert Keith Landis, CRNA | |
8292 S Ridge Dr, Macungie, PA 18062-9138 | |
(610) 966-3163 | |
Not Available |
Full Name | Robert Keith Landis |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 34 Years |
Location | 8292 S Ridge Dr, Macungie, Pennsylvania |
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 |
---|---|---|---|
1922040062 | NPI | - | NPPES |
1579397 | Other | PA | HIGHMARK |
2258727000 | Other | PA | INDEPENDENCE BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN-254765L (Pennsylvania) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 041740 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
College Heights Endoscopy Center Llc | 2062468507 | 4 |
Eastern Pennsylvania Endoscopy Center, Llc | 4587994595 | 14 |
Nazareth Endoscopy Center, Llc | 6002245776 | 13 |
Amsurg Lewes Anesthesia Llc | 6507003654 | 6 |
Entity Name | Lehigh Valley Anesthesia Services, P. C. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730174731 PECOS PAC ID: 8820992183 Enrollment ID: O20031120000076 |
Entity Name | College Heights Endoscopy Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578525515 PECOS PAC ID: 2062468507 Enrollment ID: O20050421000684 |
Entity Name | Ams Pennsylvania Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790238368 PECOS PAC ID: 7315235058 Enrollment ID: O20161012000389 |
Entity Name | Eastern Pennsylvania Endoscopy Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972153997 PECOS PAC ID: 4587994595 Enrollment ID: O20190918000050 |
Entity Name | Nazareth Endoscopy Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508400920 PECOS PAC ID: 6002245776 Enrollment ID: O20200331002928 |
Mailing Address | Practice Location Address |
---|---|
Robert Keith Landis, CRNA 8292 S Ridge Dr, Macungie, PA 18062-9138 Ph: (610) 966-3163 | Robert Keith Landis, CRNA 8292 S Ridge Dr, Macungie, PA 18062-9138 Ph: (610) 966-3163 |