Crystal J Ford, LPCC in Brooklyn Park, MN - Medicare Counselor Provider

Crystal J Ford, LPCC is a medicare enrolled "Counselor - Professional" provider in Brooklyn Park, Minnesota. Her current practice location is 2807 Brookdale Dr, Brooklyn Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 237-9898.

Crystal J Ford is licensed to practice in Minnesota (license number 1634) 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 1326559576.

Contact Information

	Crystal J Ford, LPCC
	2807 Brookdale Dr, Brooklyn Park, MN 55444-1844
	(763) 237-9898
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Crystal J Ford
Gender	Female
Speciality	Counselor - Professional
Location	2807 Brookdale Dr, Brooklyn Park, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326559576
Provider Enumeration Date: 10/16/2017
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 9537575345
Enrollment ID: I20240229001312

Medical Identifiers

Medical identifiers for Crystal J Ford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326559576	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	1634 (Minnesota)	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 J Ford allows following entities to bill medicare on her behalf.

Entity Name	Open Cities Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225101405 PECOS PAC ID: 5799696621 Enrollment ID: O20031110000648

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 J Ford 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
Crystal J Ford, LPCC 19 4th Ave Nw, Forest Lake, MN 55025-1138 Ph: (651) 248-3461	Crystal J Ford, LPCC 2807 Brookdale Dr, Brooklyn Park, MN 55444-1844 Ph: (763) 237-9898

Reviews and Comments

Counselor in Brooklyn Park, MN

Diana Sue Smith, LADC, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6800 78th Ave N, Brooklyn Park, MN 55445 Phone: 612-924-3807
Katherine Marie Jensen, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 8590 Edinburgh Center Dr, Brooklyn Park, MN 55443 Phone: 763-425-5959
Ravaughn Perry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7508 Edgewood Ave N, Brooklyn Park, MN 55428 Phone: 763-464-7416
Amber Mckay, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6900 78th Ave N Ste 101, Brooklyn Park, MN 55445 Phone: 763-432-6875 Fax: 763-432-6894
Carly Ziegeweid, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6800 78th Ave N, Brooklyn Park, MN 55445 Phone: 612-924-3807
Mr. Martrell Cornell Carter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6800 78th Ave N, Brooklyn Park, MN 55445 Phone: 612-924-3807
Abdullahi Abdulrashid Salad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 82nd Cir N, Brooklyn Park, MN 55444 Phone: 612-346-8549

Crystal J Ford, LPCC - Medicare Counselor in Brooklyn Park, MN