Ms Kristal Alexis Lewis, KRISTAL in Waterbury, CT - Medicare Social Worker Provider

Ms Kristal Alexis Lewis, KRISTAL is a medicare enrolled "Social Worker - Clinical" provider in Waterbury, Connecticut. Her current practice location is 230 Frost Rd, Waterbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 819-0789.

Ms Kristal Alexis Lewis is licensed to practice in Connecticut (license number 12398) 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 1295380913.

Contact Information

	Ms Kristal Alexis Lewis, KRISTAL
	230 Frost Rd, Waterbury, CT 06705-2154
	(203) 819-0789
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kristal Alexis Lewis
Gender	Female
Speciality	Social Worker - Clinical
Location	230 Frost Rd, Waterbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295380913
Provider Enumeration Date: 08/08/2019
Last Update Date: 08/30/2022

Medicare PECOS Information:

PECOS PAC ID: 3274904560
Enrollment ID: I20230124003231

Medical Identifiers

Medical identifiers for Ms Kristal Alexis Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295380913	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	12398 (Connecticut)	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 Kristal Alexis Lewis allows following entities to bill medicare on her behalf.

Entity Name	Mindscapes Counseling Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295130581 PECOS PAC ID: 1557614856 Enrollment ID: O20181105000405

Entity Name	Optum Behavioral Care Of Connecticut Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164203238 PECOS PAC ID: 9436502879 Enrollment ID: O20240201001054

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 Kristal Alexis Lewis 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 Kristal Alexis Lewis, KRISTAL 230 Frost Rd, Waterbury, CT 06705-2154 Ph: (203) 819-0789	Ms Kristal Alexis Lewis, KRISTAL 230 Frost Rd, Waterbury, CT 06705-2154 Ph: (203) 819-0789

Reviews and Comments

Social Worker in Waterbury, CT

Miss Jennifer Michele Sinclair, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27 Visconti Ave, Waterbury, CT 06704 Phone: 203-232-8596
Patricia Ann Dupree-bautista, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 95 Thomaston Ave, Waterbury, CT 06702 Phone: 203-805-5383
Jennifer Giordano, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 55 West Main Street, Western Connecticut Mental Health Network Suite 410, Waterbury, CT 06702 Phone: 203-805-6408 Fax: 203-805-6432
Mr. Michael F Norton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 228 Meadow St, Waterbury, CT 06702 Phone: 203-597-0643 Fax: 203-597-0834
Mary Ann Rourke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 95 Scovill St, 3rd Floor, Waterbury, CT 06706 Phone: 203-709-7081 Fax: 203-709-7754
Mrs. Ivelisse Soto, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 95 Thomaston Ave, Waterbury, CT 06702 Phone: 203-805-5378
Paula Zigman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 West Main Street, Suite 410 Western Connecticut Mental Health Network, Waterbury, CT 06702 Phone: 203-805-6408 Fax: 203-805-6432

Ms Kristal Alexis Lewis, KRISTAL - Medicare Clinical Social Worker in Waterbury, CT