Mrs Cristal Rose Jenkins, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Chester, Virginia. Her current practice location is
4318 Old Hundred Rd Ste C, Chester, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 621-5572.
Mrs Cristal Rose Jenkins is licensed to practice in Virginia (license number 0904011150) 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 1134374747.
Healthcare Provider's Profile
Full Name | Mrs Cristal Rose Jenkins |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4318 Old Hundred Rd Ste C, Chester, Virginia |
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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: 1134374747
- Provider Enumeration Date: 11/24/2008
- Last Update Date: 09/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 2365827292
- Enrollment ID: I20220913004157
Medical Identifiers
Medical identifiers for Mrs Cristal Rose Jenkins such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134374747 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | RC60063009 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | 0904011150 (Virginia) | 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. Mrs Cristal Rose Jenkins allows following entities to bill medicare on her behalf.
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210331001144 |
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Entity Name | Evergreen Counseling Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629725478 PECOS PAC ID: 1456736388 Enrollment ID: O20220913004125 |
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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. Mrs Cristal Rose Jenkins 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 |
Mrs Cristal Rose Jenkins, LCSW 4318 Old Hundred Rd Ste C, Chester, VA 23831-4231 Ph: (804) 621-5572 | Mrs Cristal Rose Jenkins, LCSW 4318 Old Hundred Rd Ste C, Chester, VA 23831-4231 Ph: (804) 621-5572 |
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