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

Audriana Petra Garcilazo, is a medicare enrolled "Counselor - Mental Health" provider in Heppner, Oregon. Her current practice location is 120 S Main St, Heppner, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 676-9161.

Audriana Petra Garcilazo is licensed to practice in * (Not Available) (license number ) 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,
	120 S Main St, Heppner, OR 97836-2033
	(541) 676-9161
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Audriana Petra Garcilazo
Gender	Female
Speciality	Counselor - Mental Health
Location	120 S Main St, Heppner, 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: 05/25/2016

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))	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, Po Box 469, Heppner, OR 97836-0469 Ph: (541) 676-9161	Audriana Petra Garcilazo, 120 S Main St, Heppner, OR 97836-2033 Ph: (541) 676-9161

Reviews and Comments

Counselor in Heppner, OR

Tami Howey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 68982 Willow Creek Rd, Heppner, OR 97836 Phone: 541-676-5125
Shannon Hill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 68982 Willow Creek Rd, Heppner, OR 97836 Phone: 541-676-5125
Heidi Marie Turrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 68982 Willow Creek Rd, Heppner, OR 97836 Phone: 541-571-6753 Fax: 541-676-5186
Mrs. Amy George, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 S Main St, Heppner, OR 97836 Phone: 541-676-9161
Maria Isabel Vargas, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 W Sperry Street, Heppner, OR 97836 Phone: 541-676-9161
Rebecca Humphreys, Counselor Medicare: Medicare Enrolled Practice Location: 120 S Main St, Heppner, OR 97836 Phone: 541-676-9161 Fax: 541-676-5662
Kimberly Lindsay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 S. Main St., Heppner, OR 97836 Phone: 541-676-9161

Audriana Petra Garcilazo, - Medicare Counselor in Heppner, OR