Krista Matthews, TLLP, LLPC is a medicare enrolled "Counselor - Professional" provider in Saint Joseph, Michigan. Her current practice location is
1030 Miners Rd, Saint Joseph, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 408-1688.
Krista Matthews is licensed to practice in Michigan (license number 6401012458) 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 1114295201.
Healthcare Provider's Profile
Full Name | Krista Matthews |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 1030 Miners Rd, Saint Joseph, Michigan |
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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: 1114295201
- Provider Enumeration Date: 12/05/2011
- Last Update Date: 02/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 3274976089
- Enrollment ID: I20240208003026
Medical Identifiers
Medical identifiers for Krista Matthews such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114295201 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 6401012458 (Michigan) | Secondary |
101YP2500X | Counselor - Professional | 6401012458 (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. Krista Matthews allows following entities to bill medicare on her behalf.
Entity Name | Karen Gallagher Lmsw Acsw Professional Counseling Srvs Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578717245 PECOS PAC ID: 4183781297 Enrollment ID: O20090317000245 |
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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. Krista Matthews 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 |
Krista Matthews, TLLP, LLPC 1030 Miners Rd, Saint Joseph, MI 49085-9625 Ph: (269) 408-1688 | Krista Matthews, TLLP, LLPC 1030 Miners Rd, Saint Joseph, MI 49085-9625 Ph: (269) 408-1688 |
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