Crysta Caryll Shiner, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Columbus, Indiana. She graduated from healthcare school in 1994 and has 31 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Diversus Health Inc and her current practice location is
2223 Poshard Dr, Columbus, Indiana. You can reach out to her office (for appointments etc.) via phone at
(800) 562-5213.
Crysta Caryll Shiner is licensed to practice in Indiana (license number 34003901A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215206008.
Healthcare Provider's Profile
| Full Name | Crysta Caryll Shiner |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 31 Years |
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| Location | 2223 Poshard Dr, Columbus, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Crysta Caryll Shiner graduated from medical school in 1994
NPI Data:
- NPI Number: 1215206008
- Provider Enumeration Date: 12/22/2011
- Last Update Date: 07/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214362078
- Enrollment ID: I20220901001124
Medical Identifiers
Medical identifiers for Crysta Caryll Shiner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215206008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 34003901A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09928450 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34003901A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Diversus Health Inc | 7719879204 | 45 |
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. Crysta Caryll Shiner allows following entities to bill medicare on her behalf.
| Entity Name | Diversus Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043260243
PECOS PAC ID: 7719879204
Enrollment ID: O20040329000837 |
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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. Crysta Caryll Shiner 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 |
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Crysta Caryll Shiner, LCSW
2223 Poshard Dr,
Columbus, IN 47203-1844
Ph: (800) 562-5213 | Crysta Caryll Shiner, LCSW
2223 Poshard Dr,
Columbus, IN 47203-1844
Ph: (800) 562-5213 |
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