Mrs Kristal Carroll Henderson Bolhuis, BS in Dickson City, PA

Mrs Kristal Carroll Henderson Bolhuis, BS is a medicare enrolled "Counselor - Mental Health" provider in Dickson City, Pennsylvania. Her current practice location is 851 Commerce Blvd, Dickson City, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 489-5561.

Mrs Kristal Carroll Henderson Bolhuis is licensed to practice in * (Not Available) (license number ) 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 1699449405.

Contact Information

	Mrs Kristal Carroll Henderson Bolhuis, BS
	851 Commerce Blvd, Dickson City, PA 18519-1759
	(570) 489-5561
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kristal Carroll Henderson Bolhuis
Gender	Female
Speciality	Counselor - Mental Health
Location	851 Commerce Blvd, Dickson City, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699449405
Provider Enumeration Date: 08/04/2021
Last Update Date: 08/04/2021

Medicare PECOS Information:

PECOS PAC ID: 2062946718
Enrollment ID: I20241118001121

Medical Identifiers

Medical identifiers for Mrs Kristal Carroll Henderson Bolhuis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699449405	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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 Kristal Carroll Henderson Bolhuis allows following entities to bill medicare on her behalf.

Entity Name	Thaxton Holistic Wellness Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609243898 PECOS PAC ID: 2769818418 Enrollment ID: O20200129000324

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 Kristal Carroll Henderson Bolhuis 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 Kristal Carroll Henderson Bolhuis, BS 101 Jean Danielson Dr, Greentown, PA 18426-4815 Ph: (731) 612-5034	Mrs Kristal Carroll Henderson Bolhuis, BS 851 Commerce Blvd, Dickson City, PA 18519-1759 Ph: (570) 489-5561

Reviews and Comments

Counselor in Dickson City, PA

Ms. Cara Leigh Desanto, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 851 Commerce Blvd Ste 107, Dickson City, PA 18519 Phone: 570-489-5561 Fax: 570-489-5563
Chelsea Kresge, Counselor Medicare: Not Enrolled in Medicare Practice Location: 851 Commerce Blvd, Dickson City, PA 18519 Phone: 570-489-5561
Alexandra Georgiana Carrick, Counselor Medicare: Medicare Enrolled Practice Location: 650 Boulevard Ave, Dickson City, PA 18519 Phone: 570-688-5896
Ms. Vanessa Marie Wormuth, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 851 Commerce Blvd Ste 107, Dickson City, PA 18519 Phone: 570-489-5561
Melissa Saxon-price, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: The Aaron Center, 851 Commerce Boulevard Suite 107, Dickson City, PA 18519 Phone: 570-489-5561
Nicole E O'brien, Counselor Medicare: Not Enrolled in Medicare Practice Location: 851 Commerce Blvd, Dickson City, PA 18519 Phone: 570-489-5561
Amanda Pryor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 851 Commerce Blvd, Dickson City, PA 18519 Phone: 570-489-5561

Mrs Kristal Carroll Henderson Bolhuis, BS - Medicare Counselor in Dickson City, PA