Dr Nicole I Landry, OD in Detroit, MI - Medicare Optometrist Provider

Dr Nicole I Landry, OD is a medicare enrolled "Optometrist" provider in Detroit, Michigan. Her current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 365-3399.

Dr Nicole I Landry is licensed to practice in Michigan (license number 4901005766) 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 1639922354.

Contact Information

	Dr Nicole I Landry, OD
	2799 W Grand Blvd, Detroit, MI 48202-2608
	(313) 365-3399
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nicole I Landry
Gender	Female
Speciality	Optometrist
Location	2799 W Grand Blvd, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639922354
Provider Enumeration Date: 04/10/2024
Last Update Date: 04/10/2024

Medicare PECOS Information:

PECOS PAC ID: 3375985989
Enrollment ID: I20240529000773

Medical Identifiers

Medical identifiers for Dr Nicole I Landry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639922354	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4901005766 (Michigan)	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. Dr Nicole I Landry allows following entities to bill medicare on her behalf.

Provider Name	P-cor Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1720033343 PECOS PAC ID: 9931194149 Enrollment ID: O20040417000048

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. Dr Nicole I Landry 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
Dr Nicole I Landry, OD 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: () -	Dr Nicole I Landry, OD 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 365-3399

Reviews and Comments

Optometrist in Detroit, MI

Kayleigh Rohr, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4646 John R St, Detroit, MI 48201 Phone: 313-576-1000
Dr. Robert Fredrick Lee Iii, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 15157 Gratiot Ave, Detroit, MI 48205 Phone: 313-526-7664 Fax: 313-526-2055
Dr. Sura Hassan, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4717 St. Antoine, Kresge Eye Institute, Detroit, MI 48201 Phone: 313-577-8900 Fax: 313-577-0700
Dr. Richard Edwin Gay, OD Optometrist Medicare: Medicare Enrolled Practice Location: 19173 Mack Ave, Detroit, MI 48230 Phone: 313-882-7883 Fax: 313-882-5128
Heritage Optical Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2678 E Jefferson Ave, Detroit, MI 48207 Phone: 313-259-6006
Dr. Linda Le, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1301 Orleans St Apt 1705, Detroit, MI 48207 Phone: 248-759-9202
Wayne State University Physician Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4717 Saint Antoine St, Detroit, MI 48201 Phone: 313-577-8900 Fax: 313-577-0700

Dr Nicole I Landry, OD - Medicare Optometrist in Detroit, MI