Nicole Elizabeth Landis, LMFT in Bend, OR - Medicare Marriage & Family Therapist Provider

Nicole Elizabeth Landis, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Bend, Oregon. Her current practice location is 2564 Ne Courtney Dr, Bend, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 678-5277.

Nicole Elizabeth Landis is licensed to practice in Oregon (license number T1706) 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 1376905315.

Contact Information

	Nicole Elizabeth Landis, LMFT
	2564 Ne Courtney Dr, Bend, OR 97701-7638
	(541) 678-5277
	(541) 678-5280

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Elizabeth Landis
Gender	Female
Speciality	Marriage & Family Therapist
Location	2564 Ne Courtney Dr, Bend, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376905315
Provider Enumeration Date: 03/28/2016
Last Update Date: 08/11/2020

Medicare PECOS Information:

PECOS PAC ID: 9638516479
Enrollment ID: I20240328001067

Medical Identifiers

Medical identifiers for Nicole Elizabeth Landis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376905315	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	T1706 (Oregon)	Primary
101Y00000X	Counselor	CG60306395 (Washington)	Secondary

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. Nicole Elizabeth Landis allows following entities to bill medicare on her behalf.

Entity Name	Wfm Healthcare Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700106986 PECOS PAC ID: 5991993875 Enrollment ID: O20101218000074

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. Nicole Elizabeth Landis 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
Nicole Elizabeth Landis, LMFT 2564 Ne Courtney Dr, Bend, OR 97701-7638 Ph: (541) 678-5277	Nicole Elizabeth Landis, LMFT 2564 Ne Courtney Dr, Bend, OR 97701-7638 Ph: (541) 678-5277

Reviews and Comments

Marriage & Family Therapist in Bend, OR

Jill Wheeler, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 745 Nw Mt Washington Dr Ste 307, Bend, OR 97703 Phone: 541-241-0741
Dr. Randi Hennigan, PHD, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17 Nw Hawthorne Ave Ste 2, Bend, OR 97703 Phone: 541-719-8855
Joella Long, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 780 Nw York Dr, Suite 204, Bend, OR 97703 Phone: 541-639-2986
Ms. Kristin Dawn James, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2577 Ne Courtney Dr, Bend, OR 97701 Phone: 541-322-7563
Katie Diane Steele, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 550 Sw Industrial Way, Suite 120, Bend, OR 97702 Phone: 541-729-3337
Mrs. Mary Christine Hoisington, M.A., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2577 Ne Courtney Dr, Bend, OR 97701 Phone: 541-322-7500 Fax: 541-322-7565
Kathleen Shipley, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 377 Sw Century Dr Ste 208, Bend, OR 97702 Phone: 541-897-7545

Nicole Elizabeth Landis, LMFT - Medicare Couples Therapy in Bend, OR