Mrs Krystal Marie Boothe, LCSW in West Covina, CA - Medicare Social Worker Provider

Mrs Krystal Marie Boothe, LCSW is a medicare enrolled "Social Worker - Clinical" provider in West Covina, California. Her current practice location is 1050 Lakes Dr, West Covina, California. You can reach out to her office (for appointments etc.) via phone at (310) 621-0150.

Mrs Krystal Marie Boothe is licensed to practice in California (license number LCSW71811) 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 1043488414.

Contact Information

	Mrs Krystal Marie Boothe, LCSW
	1050 Lakes Dr, West Covina, CA 91790-2924
	(310) 621-0150
	(661) 727-0006

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Krystal Marie Boothe
Gender	Female
Speciality	Social Worker - Clinical
Location	1050 Lakes Dr, West Covina, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043488414
Provider Enumeration Date: 02/19/2008
Last Update Date: 02/25/2020

Medicare PECOS Information:

PECOS PAC ID: 5991086571
Enrollment ID: I20161220001977

Medical Identifiers

Medical identifiers for Mrs Krystal Marie Boothe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043488414	NPI	-	NPPES
99999999999999	Medicaid	CA
9999999999	Other	CA	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW71811 (California)	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. Mrs Krystal Marie Boothe allows following entities to bill medicare on her behalf.

Entity Name	Wings Of The Future Private Practice Lcsw Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144705724 PECOS PAC ID: 8729488440 Enrollment ID: O20220223000697

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. Mrs Krystal Marie Boothe 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
Mrs Krystal Marie Boothe, LCSW 418 N Dalton Ave, Azusa, CA 91702-3634 Ph: (310) 621-0150	Mrs Krystal Marie Boothe, LCSW 1050 Lakes Dr, West Covina, CA 91790-2924 Ph: (310) 621-0150

Reviews and Comments

Social Worker in West Covina, CA

Christian Paul Carrasquillo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1730 S Orange Ave, West Covina, CA 91790 Phone: 909-570-1546
Naleah Hamilton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1050 Lakes Dr Ste 225, West Covina, CA 91790 Phone: 661-402-1545
Serena Maria Avilez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 703 S Terri Ann Dr, West Covina, CA 91791 Phone: 626-826-9670
Ruiqi He, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1515 W Cameron Ave Ste 218, West Covina, CA 91790 Phone: 626-653-9913
Alysha Mccuistion, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1215 W West Covina Pkwy, Suite 200, West Covina, CA 91790 Phone: 626-338-9200
Ms. Elizabeth Mendez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2934 E Garvey Ave S, West Covina, CA 91791 Phone: 626-390-8664

Mrs Krystal Marie Boothe, LCSW - Medicare Clinical Social Worker in West Covina, CA