Taylor Autumn Andoe, LMSW in Pryor, OK - Medicare Social Worker Provider

Taylor Autumn Andoe, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Pryor, Oklahoma. Her current practice location is 109 N Fairland St, Pryor, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 825-1405.

Taylor Autumn Andoe is licensed to practice in * (Not Available) (license number ) 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 1528686151.

Contact Information

	Taylor Autumn Andoe, LMSW
	109 N Fairland St, Pryor, OK 74361-4203
	(918) 825-1405
	(918) 825-1406

Map and Direction

Healthcare Provider's Profile

Full Name	Taylor Autumn Andoe
Gender	Female
Speciality	Social Worker - Clinical
Location	109 N Fairland St, Pryor, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528686151
Provider Enumeration Date: 07/09/2020
Last Update Date: 08/17/2021

Medicare PECOS Information:

PECOS PAC ID: 9234586629
Enrollment ID: I20231107000625

Medical Identifiers

Medical identifiers for Taylor Autumn Andoe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528686151	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	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. Taylor Autumn Andoe allows following entities to bill medicare on her behalf.

Entity Name	Grand Lake Mental Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497762520 PECOS PAC ID: 4688711534 Enrollment ID: O20091026000174

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. Taylor Autumn Andoe 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
Taylor Autumn Andoe, LMSW 109 N Fairland St, Pryor, OK 74361-4203 Ph: (918) 825-1405	Taylor Autumn Andoe, LMSW 109 N Fairland St, Pryor, OK 74361-4203 Ph: (918) 825-1405

Reviews and Comments

Social Worker in Pryor, OK

Floyd Grant, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 N Fairland St, Suite 101, Pryor, OK 74361 Phone: 918-825-2884
Ms. Tiffany Jo Tomaso-kelly, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 N Fairland St., Pryor, OK 74361 Phone: 918-629-3533
Christie Hilsheimer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 109 N Fairland St, Pryor, OK 74361 Phone: 918-825-1406 Fax: 918-876-3436
Allison Rose, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 N Fairland St, Pryor, OK 74361 Phone: 539-240-4411
Ms. Jennifer Noelle Pettijohn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 N Fairland St., Pryor, OK 74361 Phone: 918-825-1405 Fax: 918-825-1406
Kellie Frost, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 N Fairland St, Pryor, OK 74361 Phone: 918-825-1405 Fax: 918-825-1406

Taylor Autumn Andoe, LMSW - Medicare Clinical Social Worker in Pryor, OK