Mrs Vicki Lynn Landis, WHNP-BC in Fairfax, SC

Mrs Vicki Lynn Landis, WHNP-BC is a medicare enrolled "Nurse Practitioner - Women's Health" in Fairfax, South Carolina. Her current practice location is 333 Revolutionary Trl, Fairfax, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 632-2533.

Mrs Vicki Lynn Landis is licensed to practice in South Carolina (license number 27377) 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 1194067066.

Contact Information

	Mrs Vicki Lynn Landis, WHNP-BC
	333 Revolutionary Trl, Fairfax, SC 29827-7109
	(803) 632-2533
	(803) 632-3285

Map and Direction

Provider's Profile

Full Name	Mrs Vicki Lynn Landis
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	333 Revolutionary Trl, Fairfax, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194067066
Provider Enumeration Date: 03/19/2013
Last Update Date: 01/11/2024

Medicare PECOS Information:

PECOS PAC ID: 1557597515
Enrollment ID: I20180305001269

Medical Identifiers

Medical identifiers for Mrs Vicki Lynn Landis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194067066	NPI	-	NPPES
NP9418	Medicaid	SC
SCP955	Other	SC	MEDICARE
27377	Other	SC	MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	27377 (South Carolina)	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. Mrs Vicki Lynn Landis allows following entities to bill medicare on her behalf.

Entity Name	Obstetrix Medical Group Of Texas Billing, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568486264 PECOS PAC ID: 2365342938 Enrollment ID: O20040110000026

Entity Name	Discovery Medical Network Matagorda Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053672535 PECOS PAC ID: 4082862487 Enrollment ID: O20120910000288

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. Mrs Vicki Lynn 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
Mrs Vicki Lynn Landis, WHNP-BC 86 Wren St, Barnwell, SC 29812-1529 Ph: (803) 259-5762	Mrs Vicki Lynn Landis, WHNP-BC 333 Revolutionary Trl, Fairfax, SC 29827-7109 Ph: (803) 632-2533

Reviews and Comments

Nurse Practitioner Nurses in Fairfax, SC

Mrs. Erica Leigh O'quinn, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Revolutionary Trl, Fairfax, SC 29827 Phone: 803-632-2533 Fax: 803-632-2451
Mrs. Delois Daniels, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 333 Revolutionary Trl, Fairfax, SC 29827 Phone: 803-632-2533 Fax: 803-632-3285
Elizabeth Harrison Shuler, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 333 Revolutionary Trl, Fairfax, SC 29827 Phone: 803-632-2533
Lucille Miley Sanders, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Revolutionary Trl, Fairfax, SC 29827 Phone: 803-632-2533 Fax: 803-632-2451
Rebecca Lynn Wilkes, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Revolutionary Trail, Fairfax, SC 29827 Phone: 803-632-2533 Fax: 803-632-2451
Mr. James Robert Mynatt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Revolutionary Trail, Fairfax, SC 29827 Phone: 803-632-2533 Fax: 803-632-2451

Mrs Vicki Lynn Landis, WHNP-BC - Medicare Nurse Practitioner in Fairfax, SC