Audra Landry, MSW is a medicare enrolled "Social Worker - Clinical" provider in Eugene, Oregon. Her current practice location is
260 E 11th Ave, Eugene, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 484-4428.
Audra Landry is licensed to practice in Oregon (license number L10907) 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 1770728701.
Healthcare Provider's Profile
Full Name | Audra Landry |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 260 E 11th Ave, Eugene, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770728701
- Provider Enumeration Date: 12/04/2008
- Last Update Date: 07/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 2062880438
- Enrollment ID: I20221116002631
Medical Identifiers
Medical identifiers for Audra Landry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770728701 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | L10907 (Oregon) | 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. Audra Landry allows following entities to bill medicare on her behalf.
Entity Name | Peacehealth Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097 |
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Entity Name | Peacehealth Medical Group Cottage Grove |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780631267 PECOS PAC ID: 9436060530 Enrollment ID: O20040616001333 |
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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. Audra 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 |
Audra Landry, MSW 260 E 11th Ave, Eugene, OR 97401-3247 Ph: (541) 484-4428 | Audra Landry, MSW 260 E 11th Ave, Eugene, OR 97401-3247 Ph: (541) 484-4428 |
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