Krystyn M Gunther, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Indianapolis, Indiana. Her current practice location is
3401 E Raymond St, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 957-2100.
Krystyn M Gunther is licensed to practice in Indiana (license number 34010432A) 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 1588013783.
Healthcare Provider's Profile
Full Name | Krystyn M Gunther |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3401 E Raymond St, Indianapolis, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588013783
- Provider Enumeration Date: 06/08/2016
- Last Update Date: 05/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 7517210941
- Enrollment ID: I20181031002412
Medical Identifiers
Medical identifiers for Krystyn M Gunther such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588013783 | NPI | - | NPPES |
149017582 | Other | IL | ILLINOIS LIC |
300082132 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 149017582 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 34010432A (Indiana) | 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. Krystyn M Gunther allows following entities to bill medicare on her behalf.
Entity Name | Human Service Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881630689 PECOS PAC ID: 6901896968 Enrollment ID: O20040513000449 |
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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. Krystyn M Gunther 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 |
Krystyn M Gunther, LCSW 3403 E Raymond St, Indianapolis, IN 46203-4744 Ph: (317) 957-2000 | Krystyn M Gunther, LCSW 3401 E Raymond St, Indianapolis, IN 46203-4744 Ph: (317) 957-2100 |
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