Crystina Wells, in Marion, IL - Medicare Counselor Provider

Crystina Wells, is a medicare enrolled "Counselor - Professional" provider in Marion, Illinois. Her current practice location is 1602 W Walnut St, Marion, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 364-2504.

Crystina Wells is licensed to practice in * (Not Available) (license number 178014887) 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 1477118974.

Contact Information

	Crystina Wells,
	1602 W Walnut St, Marion, IL 62959-1310
	(618) 364-2504
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Crystina Wells
Gender	Female
Speciality	Counselor - Professional
Location	1602 W Walnut St, Marion, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477118974
Provider Enumeration Date: 05/09/2019
Last Update Date: 10/23/2022

Medicare PECOS Information:

PECOS PAC ID: 0840635405
Enrollment ID: I20240305002677

Medical Identifiers

Medical identifiers for Crystina Wells such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477118974	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	178014887 (* (Not Available))	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. Crystina Wells allows following entities to bill medicare on her behalf.

Entity Name	Brightside Medical Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609335660 PECOS PAC ID: 3678948809 Enrollment ID: O20230331000963

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. Crystina Wells 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
Crystina Wells, 1602 W Walnut St, Marion, IL 62959-1310 Ph: (618) 364-2504	Crystina Wells, 1602 W Walnut St, Marion, IL 62959-1310 Ph: (618) 364-2504

Reviews and Comments

Counselor in Marion, IL

Mrs. Heather Sims, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1307 W Main St, Marion, IL 62959 Phone: 618-997-5336 Fax: 618-993-2969
Taylor Thrasher, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1307 W Main St, Marion, IL 62959 Phone: 618-997-5336 Fax: 618-993-2969
Clifton Blake Spires, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1307 W Main St, Marion, IL 62959 Phone: 618-997-5336 Fax: 618-993-2969
Kathy Taylor, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1307 W Main St, Marion, IL 62959 Phone: 618-997-5336 Fax: 618-993-2969
Jerad Hernandez, MSW, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 202 S Bentley St, Marion, IL 62959 Phone: 855-608-3560 Fax: 618-997-6489
Jaxon Barthelme, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1307 W Main St, Marion, IL 62959 Phone: 618-997-5336 Fax: 618-993-2969
Tamika S Turner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1307 W Main St, Marion, IL 62959 Phone: 618-997-5336 Fax: 618-993-2969

Crystina Wells, - Medicare Counselor in Marion, IL