Dr Crystal Shores, PSYD, LP in Chaska, MN - Medicare Clinical Psychologist Provider

Dr Crystal Shores, PSYD, LP is a medicare enrolled "Psychologist" provider in Chaska, Minnesota. She graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Care Clinics Llc and her current practice location is 602 E 4th St, Chaska, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 361-1848.

Dr Crystal Shores is licensed to practice in Minnesota (license number LP5721) 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 1023401452.

Contact Information

	Dr Crystal Shores, PSYD, LP
	602 E 4th St, Chaska, MN 55318-2102
	(952) 361-1848
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Crystal Shores
Gender	Female
Speciality	Clinical Psychologist
Experience	13 Years
Location	602 E 4th St, Chaska, 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:

Dr Crystal Shores graduated from medical school in 2012

NPI Data:

NPI Number: 1023401452
Provider Enumeration Date: 03/10/2015
Last Update Date: 03/10/2015

Medicare PECOS Information:

PECOS PAC ID: 9830417237
Enrollment ID: I20150415001275

Medical Identifiers

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

Identifier	Type	State	Issuer
1023401452	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP5721 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Care Clinics Llc	7517181266	61

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. Dr Crystal Shores allows following entities to bill medicare on her behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

Entity Name	Care Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851716245 PECOS PAC ID: 7517181266 Enrollment ID: O20140619000479

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. Dr Crystal Shores 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
Dr Crystal Shores, PSYD, LP 602 E 4th St, Chaska, MN 55318-2102 Ph: () -	Dr Crystal Shores, PSYD, LP 602 E 4th St, Chaska, MN 55318-2102 Ph: (952) 361-1848

Reviews and Comments

Psychologist in Chaska, MN

Theresa L Gunderson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 111 Hundertmark Rd Ste 205n, Chaska, MN 55318 Phone: 952-903-1370
James Duchon, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1107 Hazeltine Blvd # 370, Chaska, MN 55318 Phone: 952-212-4893
Dr. Edward N Tipton, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1291 Bluff Creek Dr, Chaska, MN 55318 Phone: 952-496-9757
Dr. Anastasia Sullwold Ristau, PHD LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 111 Hundertmark Rd Ste 205n, Chaska, MN 55318 Phone: 952-903-1350 Fax: 952-426-3856
Dr. Holly Hanson, PSY.D., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 602 E 4th St, Chaska, MN 55318 Phone: 952-361-1848 Fax: 952-361-1380
Colleen Fafinski, LP Psychologist Medicare: Medicare Enrolled Practice Location: 1200 Chaska Creek Way Ste 200, Chaska, MN 55318 Phone: 952-856-1046 Fax: 952-847-4067

Dr Crystal Shores, PSYD, LP - Medicare Psychologist in Chaska, MN