Audriana Petra Garcilazo, in Hermiston, OR - Medicare Counselor Provider

Audriana Petra Garcilazo, is a medicare enrolled "Counselor - Professional" provider in Hermiston, Oregon. Her current practice location is 256 E Hurlburt Ave Ste 115, Hermiston, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 862-4570.

Audriana Petra Garcilazo is licensed to practice in Oregon (license number C5495) 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 1538517081.

Contact Information

	Audriana Petra Garcilazo,
	256 E Hurlburt Ave Ste 115, Hermiston, OR 97838-2443
	(541) 862-4570
	(360) 844-5184

Map and Direction

Healthcare Provider's Profile

Full Name	Audriana Petra Garcilazo
Gender	Female
Speciality	Counselor - Professional
Location	256 E Hurlburt Ave Ste 115, Hermiston, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538517081
Provider Enumeration Date: 05/25/2016
Last Update Date: 01/01/2025

Medicare PECOS Information:

PECOS PAC ID: 4587030184
Enrollment ID: I20240227004022

Medical Identifiers

Medical identifiers for Audriana Petra Garcilazo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538517081	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	C5495 (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. Audriana Petra Garcilazo allows following entities to bill medicare on her behalf.

Entity Name	Community Counseling Solutions
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487992665 PECOS PAC ID: 0446484885 Enrollment ID: O20150825005568

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. Audriana Petra Garcilazo 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
Audriana Petra Garcilazo, 142 El Monte St, Umatilla, OR 97882-9644 Ph: (541) 862-4570	Audriana Petra Garcilazo, 256 E Hurlburt Ave Ste 115, Hermiston, OR 97838-2443 Ph: (541) 862-4570

Reviews and Comments

Counselor in Hermiston, OR

William Edward Keeler, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 Nw 11th St, Hermiston, OR 97838 Phone: 541-567-2536 Fax: 541-567-2632
Haley Nicole Messner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 32405 Diagonal Rd, Hermiston, OR 97838 Phone: 541-567-2949 Fax: 888-977-2106
Brenda Palacios, Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 Nw 11th St, Hermiston, OR 97838 Phone: 541-567-2536 Fax: 541-567-2362
Leilani Faber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 Nw 11th St, Hermiston, OR 97838 Phone: 541-567-2536
Bobbi Vaughn, CIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 32405 Diagonal Rd, Hermiston, OR 97838 Phone: 541-567-2593 Fax: 888-977-2106
Mr. Jason Arthur Bremner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 Nw 11th St, Hermiston, OR 97838 Phone: 541-567-2536
Jennifer D Caswell, CADC REGISTRANT Counselor Medicare: Not Enrolled in Medicare Practice Location: 32405 Diagonal Rd, Hermiston, OR 97838 Phone: 541-567-2593 Fax: 888-977-2106

Audriana Petra Garcilazo, - Medicare Counselor in Hermiston, OR