Keryl Marie Cruickshank, LCSW in Crestview, FL - Medicare Social Worker Provider

Keryl Marie Cruickshank, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Crestview, Florida. Her current practice location is 636 Red Fern Rd, Crestview, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 279-6736.

Keryl Marie Cruickshank is licensed to practice in Florida (license number SW14528) 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 1891434932.

Contact Information

	Keryl Marie Cruickshank, LCSW
	636 Red Fern Rd, Crestview, FL 32536-5471
	(850) 279-6736
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Keryl Marie Cruickshank
Gender	Female
Speciality	Social Worker - Clinical
Location	636 Red Fern Rd, Crestview, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891434932
Provider Enumeration Date: 05/27/2022
Last Update Date: 06/14/2022

Medicare PECOS Information:

PECOS PAC ID: 1658749288
Enrollment ID: I20221201001597

Medical Identifiers

Medical identifiers for Keryl Marie Cruickshank such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891434932	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW14528 (Florida)	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. Keryl Marie Cruickshank allows following entities to bill medicare on her behalf.

Entity Name	Cotler Healthcare & Development Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225075047 PECOS PAC ID: 0143121145 Enrollment ID: O20040114000075

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. Keryl Marie Cruickshank 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
Keryl Marie Cruickshank, LCSW 636 Red Fern Rd, Crestview, FL 32536-5471 Ph: (850) 279-6736	Keryl Marie Cruickshank, LCSW 636 Red Fern Rd, Crestview, FL 32536-5471 Ph: (850) 279-6736

Reviews and Comments

Social Worker in Crestview, FL

Michelle Lou Milligan, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 259 E Oakdale Ave, Crestview, FL 32539 Phone: 850-682-1234
Pamela Pierce, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6135 Brickhill Ct, Crestview, FL 32536 Phone: 208-914-8161
Lonelle Ordway, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6137 Mockingbird Hill Ct, Crestview, FL 32539 Phone: 850-499-2999
Alicia Weaver, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4861 Leyland Ln, Crestview, FL 32536 Phone: 850-502-7603
Jessica R Myers, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 303 Lakeview Dr, Crestview, FL 32536 Phone: 850-368-3592
Thomas Desvarney Tucker Iv, CSWRI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 438 Alonzo Dr, Crestview, FL 32536 Phone: 850-461-6480
Brittany Karpati, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 308 Flounder St, Crestview, FL 32539 Phone: 219-201-9719

Keryl Marie Cruickshank, LCSW - Medicare Clinical Social Worker in Crestview, FL