Susan Leah Landis, is a medicare enrolled "Occupational Therapist" provider in Calvert City, Kentucky. Her current practice location is
685 Sharpe School Rd, Calvert City, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 559-9490.
Susan Leah Landis is licensed to practice in Kentucky (license number 135235) 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 1225661275.
Healthcare Provider's Profile
| Full Name | Susan Leah Landis |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 685 Sharpe School Rd, Calvert City, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225661275
- Provider Enumeration Date: 02/18/2020
- Last Update Date: 02/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 7113306341
- Enrollment ID: I20220618000402
Medical Identifiers
Medical identifiers for Susan Leah Landis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225661275 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 135235 (Kentucky) | 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. Susan Leah Landis allows following entities to bill medicare on her behalf.
| Provider Name | Atlas Physical Therapy Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1063816940
PECOS PAC ID: 0941523245
Enrollment ID: O20141217001550 |
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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. Susan Leah 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 |
|---|
Susan Leah Landis,
685 Sharpe School Rd,
Calvert City, KY 42029-9161
Ph: (270) 559-9490 | Susan Leah Landis,
685 Sharpe School Rd,
Calvert City, KY 42029-9161
Ph: (270) 559-9490 |
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