Mrs Crystal D Bush, LCSW, LCAS, LISW-CP is a medicare enrolled "Social Worker - Clinical" provider in Reidsville, North Carolina. Her current practice location is
1235 S Scales St, Reidsville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(199) 539-8520.
Mrs Crystal D Bush is licensed to practice in North Carolina (license number C006358) 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 1265532527.
Healthcare Provider's Profile
Full Name | Mrs Crystal D Bush |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1235 S Scales St, Reidsville, 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. |
NPI Data:
- NPI Number: 1265532527
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 04/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850426537
- Enrollment ID: I20100319000414
Medical Identifiers
Medical identifiers for Mrs Crystal D Bush such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265532527 | NPI | - | NPPES |
SS# | Other | NC | TRICARE |
6007277 | Medicaid | NC | |
156NM | Other | NC | BLUE CROSS BLUE SHIELD OF NORTH CAROLINA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1615 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | (South Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | C006358 (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. Mrs Crystal D Bush allows following entities to bill medicare on her behalf.
Entity Name | Freedom House Recovery Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093986523 PECOS PAC ID: 5193898229 Enrollment ID: O20090619000344 |
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Entity Name | Jewel Community Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841813177 PECOS PAC ID: 9830588995 Enrollment ID: O20211110002039 |
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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 Crystal D Bush 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 Crystal D Bush, LCSW, LCAS, LISW-CP 109 Marianna Pl, Garner, NC 27529-7683 Ph: (984) 292-4235 | Mrs Crystal D Bush, LCSW, LCAS, LISW-CP 1235 S Scales St, Reidsville, NC 27320-5630 Ph: (199) 539-8520 |
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