Crystal Mayberry, PSYD in Eagan, MN - Medicare Clinical Psychologist Provider

Crystal Mayberry, PSYD is a medicare enrolled "Psychologist" provider in Eagan, Minnesota. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Allina Health System and her current practice location is 1110 Yankee Doodle Rd, Eagan, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 464-3970.

Crystal Mayberry is licensed to practice in Minnesota (license number LP6735) 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 1427548064.

Contact Information

	Crystal Mayberry, PSYD
	1110 Yankee Doodle Rd, Eagan, MN 55121-2092
	(651) 464-3970
	(651) 241-0059

Map and Direction

Healthcare Provider's Profile

Full Name	Crystal Mayberry
Gender	Female
Speciality	Clinical Psychologist
Experience	6 Years
Location	1110 Yankee Doodle Rd, Eagan, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Crystal Mayberry graduated from medical school in 2018

NPI Data:

NPI Number: 1427548064
Provider Enumeration Date: 05/17/2018
Last Update Date: 01/13/2022

Medicare PECOS Information:

PECOS PAC ID: 7012338015
Enrollment ID: I20211202000684

Medical Identifiers

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

Identifier	Type	State	Issuer
1427548064	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PY60912419 (Washington)	Secondary
103T00000X	Psychologist	(* (Not Available))	Secondary
103T00000X	Psychologist	LP6735 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Allina Health System	4587573613	3101

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 Mayberry allows following entities to bill medicare on her behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713

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 Mayberry 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 Mayberry, PSYD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-4400	Crystal Mayberry, PSYD 1110 Yankee Doodle Rd, Eagan, MN 55121-2092 Ph: (651) 464-3970

Reviews and Comments

Psychologist in Eagan, MN

Dr. Kurt Robert Illig, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3795 Pilot Knob Rd, Eagan, MN 55122 Phone: 952-595-5652
Roger Olsen, LP, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 4660 Slater Rd, Suite 210, Eagan, MN 55122 Phone: 651-882-6299 Fax: 651-683-0057
Patrick Stephen Carney, L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 860 Blue Gentian Rd Ste 200, Eagan, MN 55121 Phone: 651-252-1050
Michael Lee Bortel, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492
Dr. Leslie Kyle Adair, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1121 Town Centre Dr, Eagan, MN 55123 Phone: 612-978-1852 Fax: 516-152-3286
Zachary Bella, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3795 Pilot Knob Rd, Eagan, MN 55122 Phone: 952-595-5652
Dr. Karen Nicole Chinnock, PH.D, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 930 Blue Gentian Rd, Eagan, MN 55121 Phone: 651-348-8851

Crystal Mayberry, PSYD - Medicare Psychologist in Eagan, MN