Crystal Clancy, MA, LMFT, PMH-C in Burnsville, MN - Medicare Marriage & Family Therapist Provider

Crystal Clancy, MA, LMFT, PMH-C is a medicare enrolled "Marriage & Family Therapist" provider in Burnsville, Minnesota. Her current practice location is 101 W Burnsville Pkwy Ste 207, Burnsville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 548-4266.

Crystal Clancy is licensed to practice in Minnesota (license number 1592) 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 1578703559.

Contact Information

	Crystal Clancy, MA, LMFT, PMH-C
	101 W Burnsville Pkwy Ste 207, Burnsville, MN 55337-0010
	(612) 548-4266
	(952) 686-6966

Map and Direction

Healthcare Provider's Profile

Full Name	Crystal Clancy
Gender	Female
Speciality	Marriage & Family Therapist
Location	101 W Burnsville Pkwy Ste 207, Burnsville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578703559
Provider Enumeration Date: 03/03/2009
Last Update Date: 02/13/2023

Medicare PECOS Information:

PECOS PAC ID: 1355794835
Enrollment ID: I20240131004162

Medical Identifiers

Medical identifiers for Crystal Clancy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578703559	NPI	-	NPPES
1578703559	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	1592 (Minnesota)	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. Crystal Clancy allows following entities to bill medicare on her behalf.

Entity Name	Iris Mental Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023528213 PECOS PAC ID: 2365895844 Enrollment ID: O20240131003953

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. Crystal Clancy 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
Crystal Clancy, MA, LMFT, PMH-C 101 W Burnsville Pkwy Ste 207, Burnsville, MN 55337-0010 Ph: (612) 548-4266	Crystal Clancy, MA, LMFT, PMH-C 101 W Burnsville Pkwy Ste 207, Burnsville, MN 55337-0010 Ph: (612) 548-4266

Reviews and Comments

Marriage & Family Therapist in Burnsville, MN

Britnie Krueger, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 101 W Burnsville Pkwy Ste 207, Burnsville, MN 55337 Phone: 651-456-8494
Kailee Marie Sharp, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1705 Southcross Dr W, Burnsville, MN 55306 Phone: 952-225-1575
David Livingston, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11986 Portland Ave, Burnsville, MN 55337 Phone: 612-900-3472
Tarah Pringle, PSYD, LP, LMFT Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 675 E Nicollet Blvd Ste 250, Burnsville, MN 55337 Phone: 952-993-3400
Wendy Baumler, M.A., LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1500 Mcandrews Rd W, Ste 201, Burnsville, MN 55337 Phone: 952-892-8495 Fax: 651-379-0448
Laura Jacqueline Feile, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2970 Judicial Rd, Suite 100, Burnsville, MN 55337 Phone: 952-224-8990 Fax: 952-224-8991
Frank Joseph Brumme, LPCC Couples Therapy Medicare: Medicare Enrolled Practice Location: 101 W Burnsville Pkwy Ste 207, Burnsville, MN 55337 Phone: 612-200-2603

Crystal Clancy, MA, LMFT, PMH-C - Medicare Couples Therapy in Burnsville, MN