Mr John William Landrum, in Chickamauga, GA - Medicare Counselor Provider

Mr John William Landrum, is a medicare enrolled "Counselor - Professional" provider in Chickamauga, Georgia. His current practice location is 107 Alex Dr, Chickamauga, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 539-2228.

Mr John William Landrum is licensed to practice in Georgia (license number LPC004318) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619093564.

Contact Information

	Mr John William Landrum,
	107 Alex Dr, Chickamauga, GA 30707-4154
	(706) 539-2228
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr John William Landrum
Gender	Male
Speciality	Counselor - Professional
Location	107 Alex Dr, Chickamauga, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619093564
Provider Enumeration Date: 03/22/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4183067044
Enrollment ID: I20240207002227

Medical Identifiers

Medical identifiers for Mr John William Landrum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619093564	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC004318 (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. Mr John William Landrum allows following entities to bill medicare on his behalf.

Entity Name	Lookout Mountain Community Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790782431 PECOS PAC ID: 4880682822 Enrollment ID: O20040506000251

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. Mr John William Landrum 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
Mr John William Landrum, 5217 Cheryl Ln # B, Chattanooga, TN 37415-1833 Ph: (423) 877-4178	Mr John William Landrum, 107 Alex Dr, Chickamauga, GA 30707-4154 Ph: (706) 539-2228

Reviews and Comments

Counselor in Chickamauga, GA

Ms. Jennifer Elizabeth Holdaway, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Alex Dr, Chickamauga, GA 30707 Phone: 706-539-2680
Janis C Lewis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 662 Grand Center Rd, Chickamauga, GA 30707 Phone: 423-718-6322
Miss Paula Otero Taylor, M.S., LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 21, Chickamauga, GA 30707 Phone: 142-399-4586

Mr John William Landrum, - Medicare Counselor in Chickamauga, GA