Eric Ty Crutchfield, LCSW in Benton, AR - Medicare Social Worker Provider

Eric Ty Crutchfield, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Benton, Arkansas. His current practice location is 1502 Mary Kay Ave, Benton, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 315-3344.

Eric Ty Crutchfield is licensed to practice in Arkansas (license number 2545-C) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902011000.

Contact Information

	Eric Ty Crutchfield, LCSW
	1502 Mary Kay Ave, Benton, AR 72015
	(501) 315-3344
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Eric Ty Crutchfield
Gender	Male
Speciality	Social Worker - Clinical
Location	1502 Mary Kay Ave, Benton, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902011000
Provider Enumeration Date: 05/11/2007
Last Update Date: 01/26/2011

Medicare PECOS Information:

PECOS PAC ID: 1951590280
Enrollment ID: I20110118000728

Medical Identifiers

Medical identifiers for Eric Ty Crutchfield such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902011000	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2545-C (Arkansas)	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. Eric Ty Crutchfield allows following entities to bill medicare on his behalf.

Entity Name	Counseling Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649267659 PECOS PAC ID: 6204885304 Enrollment ID: O20050114000834

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. Eric Ty Crutchfield 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
Eric Ty Crutchfield, LCSW Po Box 1589, Benton, AR 72018-1589 Ph: (501) 315-3344	Eric Ty Crutchfield, LCSW 1502 Mary Kay Ave, Benton, AR 72015 Ph: (501) 315-3344

Reviews and Comments

Social Worker in Benton, AR

Cynthia Webber, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 410 River St, Benton, AR 72015 Phone: 501-661-0720
John D Matlock, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 307 E Sevier St, Benton, AR 72015 Phone: 501-315-4224 Fax: 501-776-0411
Mrs. Gwendolyn Allen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6721 Alcoa Rd, Benton, AR 72015 Phone: 501-257-6726 Fax: 501-257-6763
Chad James Strike, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 307 E Sevier St, Benton, AR 72015 Phone: 501-315-4224 Fax: 501-778-0450
April Berryman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 110 Pearson, Benton, AR 72015 Phone: 501-315-4224 Fax: 501-778-0450
Mr. Jim Gregory, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 307 E Sevier St, Benton, AR 72015 Phone: 501-315-4224 Fax: 501-776-0411
Anne Michelle Wright, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 787 Racetrack Rd, Benton, AR 72019 Phone: 501-794-0519

Eric Ty Crutchfield, LCSW - Medicare Clinical Social Worker in Benton, AR