Crystal Sombatphibane, LMSW in Bay City, MI - Medicare Social Worker Provider

Crystal Sombatphibane, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Bay City, Michigan. Her current practice location is 4771 2 Mile Rd Ste A, Bay City, Michigan. You can reach out to her office (for appointments etc.) via phone at (989) 778-2323.

Crystal Sombatphibane is licensed to practice in Michigan (license number 6801100580) 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 1528731627.

Contact Information

	Crystal Sombatphibane, LMSW
	4771 2 Mile Rd Ste A, Bay City, MI 48706-2775
	(989) 778-2323
	(989) 778-2322

Map and Direction

Healthcare Provider's Profile

Full Name	Crystal Sombatphibane
Gender	Female
Speciality	Social Worker - Clinical
Location	4771 2 Mile Rd Ste A, Bay City, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528731627
Provider Enumeration Date: 07/26/2021
Last Update Date: 07/26/2021

Medicare PECOS Information:

PECOS PAC ID: 9436555844
Enrollment ID: I20210910001114

Medical Identifiers

Medical identifiers for Crystal Sombatphibane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528731627	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801100580 (Michigan)	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. Crystal Sombatphibane allows following entities to bill medicare on her behalf.

Entity Name	Journey Counseling Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043891088 PECOS PAC ID: 2860898376 Enrollment ID: O20210909000271

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. Crystal Sombatphibane 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
Crystal Sombatphibane, LMSW 4771 2 Mile Rd Ste A, Bay City, MI 48706-2775 Ph: (989) 778-2323	Crystal Sombatphibane, LMSW 4771 2 Mile Rd Ste A, Bay City, MI 48706-2775 Ph: (989) 778-2323

Reviews and Comments

Social Worker in Bay City, MI

June Robbins, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 721 Washington Ave Ste 300, Bay City, MI 48708 Phone: 989-686-4638
Megan Joy Vanever, L.L.M.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1010 N Madison Ave, Bay City, MI 48708 Phone: 989-895-2697
Rebecca A Gettel Prout, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 315 Center Ave Apt 403, Bay City, MI 48708 Phone: 989-670-3454
Lorraine Haley, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1308 Columbus Ave, Ste 102, Bay City, MI 48708 Phone: 989-980-4872 Fax: 989-894-8051
Mollie Sue Ferguson, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 690 S Trumbull, Bay City, MI 48708 Phone: 989-922-4900 Fax: 989-922-4911
Michella Harless, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 Mulholland St, Bay City, MI 48708 Phone: 989-895-2300
Todd Butterfield, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Washington Ave, Bay City, MI 48708 Phone: 989-684-7977

Crystal Sombatphibane, LMSW - Medicare Clinical Social Worker in Bay City, MI