Krystal Scott, LCSW/LCAS-A is a medicare enrolled "Social Worker - Clinical" provider in Goldsboro, North Carolina. Her current practice location is
403 Lynn Ave, Goldsboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 584-5501.
Krystal Scott is licensed to practice in North Carolina (license number C014357) 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 1891048369.
Healthcare Provider's Profile
| Full Name | Krystal Scott |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 403 Lynn Ave, Goldsboro, North Carolina |
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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: 1891048369
- Provider Enumeration Date: 10/22/2012
- Last Update Date: 12/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 9436546967
- Enrollment ID: I20220514000347
Medical Identifiers
Medical identifiers for Krystal Scott such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891048369 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2723-A (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | P012149 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C014357 (North Carolina) | 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. Krystal Scott allows following entities to bill medicare on her behalf.
| Entity Name | Building Healthy Minds, Llc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659837383
PECOS PAC ID: 8527455054
Enrollment ID: O20220429002170 |
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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. Krystal Scott 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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Krystal Scott, LCSW/LCAS-A
403 Lynn Ave,
Goldsboro, NC 27534-4425
Ph: () - | Krystal Scott, LCSW/LCAS-A
403 Lynn Ave,
Goldsboro, NC 27534-4425
Ph: (919) 584-5501 |
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