Andra Lane Wingo, BS is a medicare enrolled "Counselor - Mental Health" provider in Bokchito, Oklahoma. Her current practice location is
413 N Bugg St, Bokchito, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 380-7999.
Andra Lane Wingo 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 1306271663.
Healthcare Provider's Profile
| Full Name | Andra Lane Wingo |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 413 N Bugg St, Bokchito, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306271663
- Provider Enumeration Date: 09/05/2013
- Last Update Date: 09/05/2013
Medicare PECOS Information:
- PECOS PAC ID: 3274973276
- Enrollment ID: I20240424001470
Medical Identifiers
Medical identifiers for Andra Lane Wingo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306271663 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (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. Andra Lane Wingo allows following entities to bill medicare on her behalf.
| Entity Name | Community Pathways Unlimited Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659328284
PECOS PAC ID: 6608776349
Enrollment ID: O20040109001005 |
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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. Andra Lane Wingo 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 |
|---|
Andra Lane Wingo, BS
413 N Bugg St,
Bokchito, OK 74726-1211
Ph: (580) 380-7999 | Andra Lane Wingo, BS
413 N Bugg St,
Bokchito, OK 74726-1211
Ph: (580) 380-7999 |
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