Stacey Lynn Crandall, MS, NCC in Fairmont, WV

Stacey Lynn Crandall, MS, NCC is a medicare enrolled "Counselor - Professional" provider in Fairmont, West Virginia. Her current practice location is 202 Columbia St, New Beginnings, Fairmont, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 367-1625.

Stacey Lynn Crandall is licensed to practice in West Virginia (license number 2072) 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 1942370911.

Contact Information

	Stacey Lynn Crandall, MS, NCC
	202 Columbia St, New Beginnings, Fairmont, WV 26554-4047
	(304) 367-1625
	(304) 363-2282

Map and Direction

Healthcare Provider's Profile

Full Name	Stacey Lynn Crandall
Gender	Female
Speciality	Counselor - Professional
Location	202 Columbia St, Fairmont, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942370911
Provider Enumeration Date: 11/08/2006
Last Update Date: 07/21/2016

Medicare PECOS Information:

PECOS PAC ID: 5597116863
Enrollment ID: I20240111000592

Medical Identifiers

Medical identifiers for Stacey Lynn Crandall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942370911	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	P54457 (New York)	Secondary
101YP2500X	Counselor - Professional	2072 (West 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. Stacey Lynn Crandall allows following entities to bill medicare on her behalf.

Entity Name	Mountaineer Psychological Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306242540 PECOS PAC ID: 5799074191 Enrollment ID: O20160524000764

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. Stacey Lynn Crandall 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
Stacey Lynn Crandall, MS, NCC Po Box 206, 140 Front St., Mt Morris, PA 15349-0206 Ph: (304) 777-8620	Stacey Lynn Crandall, MS, NCC 202 Columbia St, New Beginnings, Fairmont, WV 26554-4047 Ph: (304) 367-1625

Reviews and Comments

Counselor in Fairmont, WV

Dr. Judith Ann Black, PHD, LPC, LCMHC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 207 Fairmont Ave, Fairmont, WV 26554 Phone: 681-404-6869
Anna Cronin, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Fairmont Ave, Fairmont, WV 26554 Phone: 681-404-6869 Fax: 681-404-6871
Beatriz Cedeno, PROVISIONAL LICENSE Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Fairmont Ave, Fairmont, WV 26554 Phone: 681-404-6869
Heather Thurbon, Counselor Medicare: Medicare Enrolled Practice Location: 225 Fairmont Ave, Fairmont, WV 26554 Phone: 681-404-6869 Fax: 681-404-6871
Paulina Kristen Elmo, MSW, LGSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Benoni Ave, Fairmont, WV 26554 Phone: 681-404-6135
Ms. Cindy Jo Wanamaker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 448 Leonard Ave, Fairmont, WV 26554 Phone: 304-366-7174 Fax: 304-366-7419
Haley Wable, Counselor Medicare: Medicare Enrolled Practice Location: 207 Fairmont Ave, Fairmont, WV 26554 Phone: 681-404-6869

Stacey Lynn Crandall, MS, NCC - Medicare Counselor in Fairmont, WV