Dr Krystle Charon-woods Hollier, PHD in Detroit, MI

Dr Krystle Charon-woods Hollier, PHD is a medicare enrolled "Psychologist - Clinical" provider in Detroit, Michigan. Her current practice location is 2888 W Grand Blvd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 875-5017.

Dr Krystle Charon-woods Hollier is licensed to practice in Michigan (license number 6301016183) 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 1316336506.

Contact Information

	Dr Krystle Charon-woods Hollier, PHD
	2888 W Grand Blvd, Detroit, MI 48202-2612
	(313) 875-5017
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Krystle Charon-woods Hollier
Gender	Female
Speciality	Psychologist - Clinical
Location	2888 W Grand Blvd, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316336506
Provider Enumeration Date: 01/12/2015
Last Update Date: 02/26/2022

Medicare PECOS Information:

PECOS PAC ID: 6305155052
Enrollment ID: I20151020000173

Medical Identifiers

Medical identifiers for Dr Krystle Charon-woods Hollier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316336506	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301016183 (Michigan)	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. Dr Krystle Charon-woods Hollier allows following entities to bill medicare on her behalf.

Entity Name	Downriver Mental Health Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295866135 PECOS PAC ID: 7911995139 Enrollment ID: O20040505000533

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 Krystle Charon-woods Hollier 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 Krystle Charon-woods Hollier, PHD 31 Arden Park Blvd, Detroit, MI 48202-1307 Ph: (313) 805-1639	Dr Krystle Charon-woods Hollier, PHD 2888 W Grand Blvd, Detroit, MI 48202-2612 Ph: (313) 875-5017

Reviews and Comments

Psychologist in Detroit, MI

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Dr Krystle Charon-woods Hollier, PHD - Medicare Psychologist in Detroit, MI