Ms Patricia A Lawrence, MSN, FNP, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Coburg, Oregon. Her current practice location is
1 Serenity Ln, Coburg, Oregon. You can reach out to her office (for appointments etc.) via phone at
(719) 671-0925.
Ms Patricia A Lawrence is licensed to practice in Oregon (license number 201050043NP) 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 1528047677.
Provider's Profile
| Full Name | Ms Patricia A Lawrence |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
|---|
| Location | 1 Serenity Ln, Coburg, Oregon |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1528047677
- Provider Enumeration Date: 01/16/2006
- Last Update Date: 01/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789951633
- Enrollment ID: I20170524000578
Medical Identifiers
Medical identifiers for Ms Patricia A Lawrence such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528047677 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | APN.0005062-NP (Colorado) | Secondary |
| 363L00000X | Nurse Practitioner | RXN.0004043-NP (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP0889 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN.0005062-NP (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RXN.0004043-NP (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 201050027NP (Oregon) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APN.0005062-NP (Colorado) | Secondary |
| 163W00000X | Registered Nurse | RN063755 (Arizona) | Secondary |
| 163W00000X | Registered Nurse | 087006925RN (Oregon) | Secondary |
| 163W00000X | Registered Nurse | RN.0088358 (Colorado) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RXN.0004043-NP (Colorado) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 201050043NP (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. Ms Patricia A Lawrence allows following entities to bill medicare on her behalf.
| Entity Name | Brightways Counseling Group Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1689191165
PECOS PAC ID: 4688907827
Enrollment ID: O20190603003122 |
|---|
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. Ms Patricia A Lawrence 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 |
|---|
Ms Patricia A Lawrence, MSN, FNP, PMHNP
4175 N Highway 101 Unit B4,
Depoe Bay, OR 97341-9729
Ph: (719) 671-0925 | Ms Patricia A Lawrence, MSN, FNP, PMHNP
1 Serenity Ln,
Coburg, OR 97408-9350
Ph: (719) 671-0925 |
Reviews and Comments