Crystal Irish, LADAC - Medicare Counselor in White River Jct, VT

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Crystal Irish, LADAC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in White River Jct, Vermont. Her current practice location is 39 Fogg Farm Rd, White River Jct, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 295-1311.

Crystal Irish is licensed to practice in Vermont (license number 151.0134105) 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 1972193266.

Contact Information

Crystal Irish, LADAC
39 Fogg Farm Rd,
White River Jct, VT 05088-0508
(802) 295-1311
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameCrystal Irish
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location39 Fogg Farm Rd, White River Jct, Vermont
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972193266
  • Provider Enumeration Date: 01/21/2021
  • Last Update Date: 01/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5799135331
  • Enrollment ID: I20231222001877

Medical Identifiers

Medical identifiers for Crystal Irish such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972193266NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 151.0134105 (Vermont)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 Irish allows following entities to bill medicare on her behalf.
Entity NameClara Martin Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386710861
PECOS PAC ID: 1951395367
Enrollment ID: O20060315000608

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 Irish 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 AddressPractice Location Address
Crystal Irish, LADAC
Po Box G,
Randolph, VT 05060-0167

Ph: (802) 728-4466		Crystal Irish, LADAC
39 Fogg Farm Rd,
White River Jct, VT 05088-0508

Ph: (802) 295-1311

Reviews and Comments


Counselor in White River Jct, VT

Gikanh Timberwolf, MA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 132 South Main Street, Suite 100, White River Jct, VT 05001
Phone: 802-295-3031    Fax: 802-281-7080

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.