Crystal Burriss, LPCC is a medicare enrolled "Counselor - Professional" provider in Loretto, Kentucky. Her current practice location is
8175 N Loretto Rd, Loretto, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(844) 435-0900.
Crystal Burriss is licensed to practice in Kentucky (license number 278265) 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 1255079091.
Healthcare Provider's Profile
| Full Name | Crystal Burriss |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 8175 N Loretto Rd, Loretto, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1255079091
- Provider Enumeration Date: 05/23/2022
- Last Update Date: 07/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284074725
- Enrollment ID: I20240430004164
Medical Identifiers
Medical identifiers for Crystal Burriss such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255079091 | NPI | - | NPPES |
| 7100293880 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 251049 (Kentucky) | Secondary |
| 101YP2500X | Counselor - Professional | 278265 (Kentucky) | 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 Burriss allows following entities to bill medicare on her behalf.
| Entity Name | Cumberland Family Medical Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306873500
PECOS PAC ID: 6305947789
Enrollment ID: O20120221000433 |
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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. Crystal Burriss 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 |
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Crystal Burriss, LPCC
Po Box 1080,
Burkesville, KY 42717-1080
Ph: (270) 858-6644 | Crystal Burriss, LPCC
8175 N Loretto Rd,
Loretto, KY 40037-8069
Ph: (844) 435-0900 |
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