Kristin Beightol, MSW, LCSW, LADAC is a medicare enrolled "Social Worker - Clinical" provider in Harrison, Arkansas. Her current practice location is
114 E Crandall Ave Ste B, Harrison, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 741-8484.
Kristin Beightol is licensed to practice in Arkansas (license number 3213-C) 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 1821370339.
Healthcare Provider's Profile
| Full Name | Kristin Beightol |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 114 E Crandall Ave Ste B, Harrison, Arkansas |
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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: 1821370339
- Provider Enumeration Date: 09/12/2011
- Last Update Date: 01/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 6406094259
- Enrollment ID: I20130606000228
Medical Identifiers
Medical identifiers for Kristin Beightol such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821370339 | NPI | - | NPPES |
| 229111719 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 348L (Arkansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 3213-C (Arkansas) | 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. Kristin Beightol allows following entities to bill medicare on her behalf.
| Entity Name | Chenal Family Therapy Plc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356604219
PECOS PAC ID: 8325395627
Enrollment ID: O20180718000717 |
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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. Kristin Beightol 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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Kristin Beightol, MSW, LCSW, LADAC
2885 W Battlefield St,
Springfield, MO 65807-3952
Ph: (417) 761-5000 | Kristin Beightol, MSW, LCSW, LADAC
114 E Crandall Ave Ste B,
Harrison, AR 72601-3628
Ph: (870) 741-8484 |
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