Chrystal L Shoup, in Hamden, CT - Medicare Counselor Provider

Chrystal L Shoup, is a medicare enrolled "Counselor - Professional" provider in Hamden, Connecticut. Her current practice location is 2911 Dixwell Ave Ste 5, Hamden, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 987-9704.

Chrystal L Shoup is licensed to practice in * (Not Available) (license number ) 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 1184010357.

Contact Information

	Chrystal L Shoup,
	2911 Dixwell Ave Ste 5, Hamden, CT 06518-3195
	(860) 987-9704
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Chrystal L Shoup
Gender	Female
Speciality	Counselor - Professional
Location	2911 Dixwell Ave Ste 5, Hamden, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184010357
Provider Enumeration Date: 04/14/2015
Last Update Date: 08/09/2024

Medicare PECOS Information:

PECOS PAC ID: 3173067253
Enrollment ID: I20240701000174

Medical Identifiers

Medical identifiers for Chrystal L Shoup such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184010357	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	(* (Not Available))	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. Chrystal L Shoup allows following entities to bill medicare on her behalf.

Entity Name	Foundations Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184111023 PECOS PAC ID: 4880132794 Enrollment ID: O20240809002229

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. Chrystal L Shoup 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
Chrystal L Shoup, 50 Brookside Rd, Waterbury, CT 06708-1402 Ph: (860) 987-9704	Chrystal L Shoup, 2911 Dixwell Ave Ste 5, Hamden, CT 06518-3195 Ph: (860) 987-9704

Reviews and Comments

Counselor in Hamden, CT

Mrs. Victoria Desjardin, MS, BCBA/LBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 680 Mix Ave Apt 2g, Hamden, CT 06514 Phone: 860-921-6484
Mrs. Kelly Stutzman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 196 Magee Dr, Hamden, CT 06514 Phone: 203-695-3737 Fax: 203-891-7629
Andrew Wayne Thompson, Counselor Medicare: Medicare Enrolled Practice Location: 268 Forest Street Ext, Hamden, CT 06518 Phone: 203-721-5527
Heidi Outtrim, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 197 Haverford St, Hamden, CT 06517 Phone: 745-719-0487
Ms. Susan Kelly, LADC, CAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1890 Dixwell Ave, Hamden, CT 06514 Phone: 860-223-9291 Fax: 860-223-3111
Miss Alisha Argo, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2911 Dixwell Ave Ste 202, Hamden, CT 06518 Phone: 475-777-2488
Areba Zahid, Counselor Medicare: Not Enrolled in Medicare Practice Location: 975 Mix Ave Apt 1f, Hamden, CT 06514 Phone: 203-491-8006

Chrystal L Shoup, - Medicare Counselor in Hamden, CT