Mrs Crystal Adel Honold, RN, MSN, CNRN, CNS is a medicare enrolled "Clinical Nurse Specialist" in Carbondale, Illinois. She graduated from nursing school in 2010 and has 15 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Southern Illinois Medical Services Nfp and her current practice location is
305 W Jackson St Ste 103, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 351-4972.
Mrs Crystal Adel Honold is licensed to practice in Illinois (license number 209.008569) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609171206.
Provider's Profile
| Full Name | Mrs Crystal Adel Honold |
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| Gender | Female |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 15 Years |
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| Location | 305 W Jackson St Ste 103, Carbondale, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Crystal Adel Honold graduated from nursing school in 2010
NPI Data:
- NPI Number: 1609171206
- Provider Enumeration Date: 01/13/2011
- Last Update Date: 09/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 3678895869
- Enrollment ID: I20141125000125
Medical Identifiers
Medical identifiers for Mrs Crystal Adel Honold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609171206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364S00000X | Clinical Nurse Specialist | 209.008569 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern Illinois Medical Services Nfp | 3678677390 | 252 |
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 Crystal Adel Honold allows following entities to bill medicare on her behalf.
| Entity Name | Southern Illinois Medical Services Nfp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770656837
PECOS PAC ID: 3678677390
Enrollment ID: O20070404000595 |
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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. Mrs Crystal Adel Honold 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 |
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Mrs Crystal Adel Honold, RN, MSN, CNRN, CNS
Po Box 3988,
Carbondale, IL 62902-3988
Ph: (618) 457-5200 | Mrs Crystal Adel Honold, RN, MSN, CNRN, CNS
305 W Jackson St Ste 103,
Carbondale, IL 62901-1474
Ph: (618) 351-4972 |
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