| Landon Ray Heavyrunner, MSW, LCSW | |
|
1511 S Russell St, Missoula, MT 59801-3629 | |
| (406) 829-9515 | |
| Not Available |
| Full Name | Landon Ray Heavyrunner |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 4 Years |
| Location | 1511 S Russell St, Missoula, Montana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215759832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | BBH-LCSW-LIC-72934 (Montana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| All Nations Health Center, Inc. | 5294025680 | 2 |
| 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 |
| 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 |
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 |