Alicia M Landry, MD - Medicare Pediatrics in Douglasville, GA

Alicia M Landry, MD is a medicare enrolled "Pediatrics" physician in Douglasville, Georgia. Her current practice location is 6875 Douglas Blvd, Suite A, Douglasville, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 365-0966.

Alicia M Landry is licensed to practice in Georgia (license number 58060) 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 1639142003.

Contact Information

Alicia M Landry, MD
6875 Douglas Blvd, Suite A,
Douglasville, GA 30135-7133
(404) 365-0966
Not Available



Physician's Profile

Full NameAlicia M Landry
GenderFemale
SpecialityPediatrics
Location6875 Douglas Blvd, Douglasville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639142003
  • Provider Enumeration Date: 02/08/2006
  • Last Update Date: 01/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2769649508
  • Enrollment ID: I20120206000469

Medical Identifiers

Medical identifiers for Alicia M Landry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639142003NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 14917 (Louisiana)Secondary
208000000XPediatrics 58060 (Georgia)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. Alicia M Landry allows following entities to bill medicare on her behalf.
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370

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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. Alicia M 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 AddressPractice Location Address
Alicia M Landry, MD
3495 Piedmont Rd Ne, Nine Piedmont Center,
Atlanta, GA 30305-1717

Ph: (404) 364-7070
Alicia M Landry, MD
6875 Douglas Blvd, Suite A,
Douglasville, GA 30135-7133

Ph: (404) 365-0966

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Pediatrics Doctors in Douglasville, GA

Dr. Abolhassan Yamin, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 8503 Campbellton St, Douglasville, GA 30134
Phone: 770-949-9985    Fax: 770-949-6213
Dr. Bridget Dauphin, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6095 Professional Pkwy, Suite 100, Douglasville, GA 30134
Phone: 770-920-2255    Fax: 770-920-9963
Dr. Suzanne Lee Fox, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6095 Professional Pkwy, Suite 100, Douglasville, GA 30134
Phone: 770-920-2255    Fax: 770-920-9963
Dr. Eteshamul Huque, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6095 Professional Pkwy, Suite 100, Douglasville, GA 30134
Phone: 770-920-2255    Fax: 770-920-9963
Kolade Kehinde Obajuluwa, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 6043 Prestley Mill Rd Ste E, Douglasville, GA 30134
Phone: 770-920-2255    Fax: 770-489-3951
Edgar Melendez, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 8355 Cherokee Blvd Ste 200, Douglasville, GA 30134
Phone: 678-400-5106    
Yassmin Ahmed Yousef, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6095 Professional Pkwy, Suite 100, Douglasville, GA 30134
Phone: 770-920-2255    Fax: 770-920-9963

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