Mr John William Landrum, is a medicare enrolled "Counselor - Professional" provider in Chickamauga, Georgia. He graduated from healthcare school in 1993 and has 33 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Lookout Mountain Community Services and his current practice location is
107 Alex Dr, Chickamauga, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 539-2228.
Mr John William Landrum is licensed to practice in Georgia (license number LPC004318) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619093564.
Healthcare Provider's Profile
| Full Name | Mr John William Landrum |
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| Gender | Male |
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| Speciality | Mental Health Counselor |
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| Experience | 33 Years |
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| Location | 107 Alex Dr, Chickamauga, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr John William Landrum graduated from medical school in 1993
NPI Data:
- NPI Number: 1619093564
- Provider Enumeration Date: 03/22/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4183067044
- Enrollment ID: I20240207002227
Medical Identifiers
Medical identifiers for Mr John William Landrum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619093564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | LPC004318 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Lookout Mountain Community Services | 4880682822 | 20 |
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. Mr John William Landrum allows following entities to bill medicare on his behalf.
| Entity Name | Lookout Mountain Community Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790782431 PECOS PAC ID: 4880682822 Enrollment ID: O20040506000251 |
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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. Mr John William Landrum 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 |
Mr John William Landrum, 5217 Cheryl Ln # B, Chattanooga, TN 37415-1833 Ph: (423) 877-4178 | Mr John William Landrum, 107 Alex Dr, Chickamauga, GA 30707-4154 Ph: (706) 539-2228 |
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