Crystal Dawn Leboeuf, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Saint Johnsbury, Vermont. Her current practice location is
374 Emerson Falls Rd Ste 2, Saint Johnsbury, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 255-8788.
Crystal Dawn Leboeuf is licensed to practice in Vermont (license number 101.0135005) 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 1033645726.
Provider's Profile
Full Name | Crystal Dawn Leboeuf |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 374 Emerson Falls Rd Ste 2, Saint Johnsbury, Vermont |
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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: 1033645726
- Provider Enumeration Date: 05/02/2017
- Last Update Date: 04/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163818287
- Enrollment ID: I20220329002269
Medical Identifiers
Medical identifiers for Crystal Dawn Leboeuf such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033645726 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 073848-21 (New Hampshire) | Secondary |
163W00000X | Registered Nurse | 026.0122541 (Vermont) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 101.0135005 (Vermont) | 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 Leboeuf allows following entities to bill medicare on her behalf.
Entity Name | Northeast Kingdom Human Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043372709 PECOS PAC ID: 0941276703 Enrollment ID: O20041012001355 |
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Entity Name | Northern Counties Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649236225 PECOS PAC ID: 2860300936 Enrollment ID: O20041203000125 |
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Entity Name | Little Rivers Health Care, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033163555 PECOS PAC ID: 8224031497 Enrollment ID: O20061003000417 |
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Entity Name | Sage Mental Health Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689431751 PECOS PAC ID: 6709225097 Enrollment ID: O20240419000645 |
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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. Crystal Dawn Leboeuf 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 Leboeuf, PMHNP-BC 374 Emerson Falls Rd Ste 2, Saint Johnsbury, VT 05819-8083 Ph: (802) 255-8788 | Crystal Dawn Leboeuf, PMHNP-BC 374 Emerson Falls Rd Ste 2, Saint Johnsbury, VT 05819-8083 Ph: (802) 255-8788 |
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