Gina Lawrence, is a medicare enrolled "Counselor - Mental Health" provider in Bend, Oregon. Her current practice location is
24455 Dodds Rd, Bend, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 777-7230.
Gina Lawrence is licensed to practice in Oregon (license number C4474) 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 1235545443.
Healthcare Provider's Profile
| Full Name | Gina Lawrence |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 24455 Dodds Rd, Bend, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235545443
- Provider Enumeration Date: 07/08/2014
- Last Update Date: 08/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 3678916566
- Enrollment ID: I20240207003588
Medical Identifiers
Medical identifiers for Gina Lawrence such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1235545443 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | 6785 (Oregon) | Secondary |
| 101YM0800X | Counselor - Mental Health | C4474 (Oregon) | 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. Gina Lawrence allows following entities to bill medicare on her behalf.
| Provider Name | Tejas Health Care |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1073779500 PECOS PAC ID: 1153470067 Enrollment ID: O20090526000409 |
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| Provider Name | Lifesource Therapy LLC |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003660036 PECOS PAC ID: 9133657752 Enrollment ID: O20250110000603 |
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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. Gina Lawrence 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 |
Gina Lawrence, 1900 Ne 3rd St, Ste 106 Pbm 3041, Bend, OR 97701-3889 Ph: (541) 777-7230 | Gina Lawrence, 24455 Dodds Rd, Bend, OR 97701-9665 Ph: (541) 777-7230 |
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