Crystal Dawn Fonville, LMFT in Huntsville, TX - Medicare Marriage & Family Therapist Provider

Crystal Dawn Fonville, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Huntsville, Texas. Her current practice location is 7045 Highway 75 S, Huntsville, Texas. You can reach out to her office (for appointments etc.) via phone at (936) 291-5800.

Crystal Dawn Fonville is licensed to practice in Texas (license number 203893) 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 1073397162.

Contact Information

	Crystal Dawn Fonville, LMFT
	7045 Highway 75 S, Huntsville, TX 77340-7281
	(936) 291-5800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Crystal Dawn Fonville
Gender	Female
Speciality	Marriage & Family Therapist
Location	7045 Highway 75 S, Huntsville, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073397162
Provider Enumeration Date: 08/21/2023
Last Update Date: 08/21/2023

Medicare PECOS Information:

PECOS PAC ID: 2264880251
Enrollment ID: I20231201000972

Medical Identifiers

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

Identifier	Type	State	Issuer
1073397162	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	203893 (Texas)	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 Dawn Fonville allows following entities to bill medicare on her behalf.

Entity Name	Tri-county Behavioral Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851333074 PECOS PAC ID: 5991754772 Enrollment ID: O20050119000528

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 Dawn Fonville 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 Dawn Fonville, LMFT 7045 Highway 75 S, Huntsville, TX 77340-7281 Ph: () -	Crystal Dawn Fonville, LMFT 7045 Highway 75 S, Huntsville, TX 77340-7281 Ph: (936) 291-5800

Reviews and Comments

Marriage & Family Therapist in Huntsville, TX

Sara D Bruhn, LCSW LPC LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2804 Lake Rd Ste 1, Huntsville, TX 77340 Phone: 936-291-7928 Fax: 936-294-0164
Susan Elizabeth Henderson, PH.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2804 Lake Rd Ste 2, Huntsville, TX 77340 Phone: 936-344-1039
Mrs. Diane Elizabeth Roman, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 901 Normal Park Dr, Ste. 201, Huntsville, TX 77320 Phone: 936-355-4585 Fax: 916-421-6037
Jennifer Lynn Henson, LPC/LMFTA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1325 Windsor St, Huntsville, TX 77340 Phone: 936-291-7928

Crystal Dawn Fonville, LMFT - Medicare Couples Therapy in Huntsville, TX