Landon Ray Heavyrunner, MSW, LCSW in Missoula, MT - Medicare Social Worker Provider

Landon Ray Heavyrunner, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Missoula, Montana. His current practice location is 1511 S Russell St, Missoula, Montana. You can reach out to his office (for appointments etc.) via phone at (406) 829-9515.

Landon Ray Heavyrunner is licensed to practice in Montana (license number BBH-LCSW-LIC-72934) 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 1215759832.

Contact Information

	Landon Ray Heavyrunner, MSW, LCSW
	1511 S Russell St, Missoula, MT 59801-3629
	(406) 829-9515
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Landon Ray Heavyrunner
Gender	Male
Speciality	Social Worker - Clinical
Location	1511 S Russell St, Missoula, Montana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215759832
Provider Enumeration Date: 10/25/2024
Last Update Date: 10/25/2024

Medicare PECOS Information:

PECOS PAC ID: 2668906322
Enrollment ID: I20241118001296

Medical Identifiers

Medical identifiers for Landon Ray Heavyrunner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215759832	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	BBH-LCSW-LIC-72934 (Montana)	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. Landon Ray Heavyrunner allows following entities to bill medicare on his behalf.

Entity Name	All Nations Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649663923 PECOS PAC ID: 5294025680 Enrollment ID: O20240628002223

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. Landon Ray Heavyrunner 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
Landon Ray Heavyrunner, MSW, LCSW 1309 S 2nd St W Apt 3, Missoula, MT 59801-2386 Ph: (406) 529-0913	Landon Ray Heavyrunner, MSW, LCSW 1511 S Russell St, Missoula, MT 59801-3629 Ph: (406) 829-9515

Reviews and Comments

Social Worker in Missoula, MT

Jennifer Walrod, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 111 Hillcrest Loop, Missoula, MT 59803 Phone: 406-529-7776 Fax: 866-776-9460
Jocelyn Nelson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 520 S 3rd St W, Missoula, MT 59801 Phone: 406-240-3732
Jennifer Nichole Tuttle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 155 N California St Apt 407, Missoula, MT 59801 Phone: 919-395-2269
Mckenna Leigh Fromm, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3885 W Broadway St, Missoula, MT 59808 Phone: 406-465-8725
Mark Christopher Wayne, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Railroad St W, Missoula, MT 59802 Phone: 406-830-5584
Ms. Kaitlyn Nina Bosshardt, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Railroad St W, Missoula, MT 59802 Phone: 406-258-4789 Fax: 406-258-4732
Calia Ivy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2112 Dixon Ave, Missoula, MT 59801 Phone: 928-637-8354

Landon Ray Heavyrunner, MSW, LCSW - Medicare Clinical Social Worker in Missoula, MT