Crysta Caryll Shiner, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Columbus, Indiana. Her current practice location is
2223 Poshard Dr, Columbus, Indiana. You can reach out to her office (for appointments etc.) via phone at
(800) 562-5213.
Crysta Caryll Shiner is licensed to practice in Indiana (license number 34003901A) 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 1215206008.
Healthcare Provider's Profile
Full Name | Crysta Caryll Shiner |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2223 Poshard Dr, Columbus, Indiana |
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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: 1215206008
- Provider Enumeration Date: 12/22/2011
- Last Update Date: 07/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214362078
- Enrollment ID: I20220901001124
Medical Identifiers
Medical identifiers for Crysta Caryll Shiner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215206008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 34003901A (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.09928450 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | 34003901A (Indiana) | 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. Crysta Caryll Shiner allows following entities to bill medicare on her behalf.
Entity Name | Diversus Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043260243 PECOS PAC ID: 7719879204 Enrollment ID: O20040329000837 |
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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. Crysta Caryll Shiner 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 |
Crysta Caryll Shiner, LCSW 2223 Poshard Dr, Columbus, IN 47203-1844 Ph: (800) 562-5213 | Crysta Caryll Shiner, LCSW 2223 Poshard Dr, Columbus, IN 47203-1844 Ph: (800) 562-5213 |
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