Ms Katie Elizabeth Landrum, BCBA is a medicare enrolled "Behavior Analyst" provider in Orlando, Florida. Her current practice location is
907 Outer Rd Ste B, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 928-4062.
Ms Katie Elizabeth Landrum is licensed to practice in Florida (license number 1-13-14290) 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 1407272545.
Healthcare Provider's Profile
| Full Name | Ms Katie Elizabeth Landrum |
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| Gender | Female |
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| Speciality | Behavior Analyst |
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| Location | 907 Outer Rd Ste B, Orlando, Florida |
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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: 1407272545
- Provider Enumeration Date: 03/13/2014
- Last Update Date: 05/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 7911343058
- Enrollment ID: I20240311003582
Medical Identifiers
Medical identifiers for Ms Katie Elizabeth Landrum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407272545 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 14318 (Florida) | Secondary |
| 103K00000X | Behavior Analyst | 1-13-14290 (New York) | Secondary |
| 103K00000X | Behavior Analyst | 1-13-14290 (Florida) | 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. Ms Katie Elizabeth Landrum allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053 |
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| Entity Name | Talkspace Provider Network PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639814049
PECOS PAC ID: 5799136701
Enrollment ID: O20240103004110 |
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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. Ms Katie Elizabeth 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 |
|---|
Ms Katie Elizabeth Landrum, BCBA
1028 Spring Landing Dr,
Winter Garden, FL 34787-2126
Ph: (407) 928-4062 | Ms Katie Elizabeth Landrum, BCBA
907 Outer Rd Ste B,
Orlando, FL 32814-6601
Ph: (407) 928-4062 |
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