Crystal Cundiff-franklin, is a medicare enrolled "Social Worker - Clinical" provider in Hazard, Kentucky. Her current practice location is
115 Rockwood Ln, Hazard, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 436-5761.
Crystal Cundiff-franklin is licensed to practice in Kentucky (license number 259026) 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 1396054763.
Healthcare Provider's Profile
| Full Name | Crystal Cundiff-franklin |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 115 Rockwood Ln, Hazard, 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: 1396054763
- Provider Enumeration Date: 10/01/2010
- Last Update Date: 05/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648713339
- Enrollment ID: I20240622000457
Medical Identifiers
Medical identifiers for Crystal Cundiff-franklin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396054763 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 259026 (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 Cundiff-franklin allows following entities to bill medicare on her behalf.
| Entity Name | Kentucky Counseling Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932590338
PECOS PAC ID: 7618221300
Enrollment ID: O20181115002000 |
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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 Cundiff-franklin 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 Cundiff-franklin,
192 Bill Fannin Road,
West Liberty, KY 41472-9415
Ph: (859) 377-0795 | Crystal Cundiff-franklin,
115 Rockwood Ln,
Hazard, KY 41701-9415
Ph: (606) 436-5761 |
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