Crystal Wildes, PSYD, LP in Thornton, CO - Medicare Psychologist Provider

Crystal Wildes, PSYD, LP is a medicare enrolled "Psychologist - Clinical" provider in Thornton, Colorado. Her current practice location is 8931 Huron St, Thornton, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 853-3500.

Crystal Wildes is licensed to practice in Colorado (license number PSY.0004027) 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 1003121898.

Contact Information

	Crystal Wildes, PSYD, LP
	8931 Huron St, Thornton, CO 80260-6806
	(303) 853-3500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Crystal Wildes
Gender	Female
Speciality	Psychologist - Clinical
Location	8931 Huron St, Thornton, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003121898
Provider Enumeration Date: 08/17/2010
Last Update Date: 06/21/2022

Medicare PECOS Information:

PECOS PAC ID: 9436449147
Enrollment ID: I20160609000170

Medical Identifiers

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

Identifier	Type	State	Issuer
1003121898	NPI	-	NPPES
9000154871	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY.0004027 (Colorado)	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 Wildes allows following entities to bill medicare on her behalf.

Entity Name	Community Reach Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316906886 PECOS PAC ID: 4284526971 Enrollment ID: O20040326001266

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 Wildes 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 Wildes, PSYD, LP 1870 W 122nd Ave Ste 100, Westminster, CO 80234-2075 Ph: (303) 853-3500	Crystal Wildes, PSYD, LP 8931 Huron St, Thornton, CO 80260-6806 Ph: (303) 853-3500

Reviews and Comments

Psychologist in Thornton, CO

Zachary Tucker, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9778 Cherry Ln, Thornton, CO 80229 Phone: 720-515-0751
Kari Baars, Psychologist Medicare: Medicare Enrolled Practice Location: 8990 Washington St, Thornton, CO 80229 Phone: 720-929-1655 Fax: 720-565-4129
Dr. Raymond Mitsch, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12883 Cherry Way, Thornton, CO 80241 Phone: 303-990-1199
Dr. Marilyn Joyce Meyers, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9351 Grant St Ste 480, Thornton, CO 80229 Phone: 303-420-8580 Fax: 303-420-8842
Charleanea M. Arellano, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 15321 Heritage Cir, Thornton, CO 80602 Phone: 720-933-0318 Fax: 303-254-9708
Gelissa Marie Garcia, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8931 Huron St, Thornton, CO 80260 Phone: 303-853-3500

Crystal Wildes, PSYD, LP - Medicare Psychologist in Thornton, CO