Crystal Irish, LADAC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in White River Jct, Vermont. She graduated from healthcare school in 2019 and has 7 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Clara Martin Center and her current practice location is
39 Fogg Farm Rd, White River Jct, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 295-1311.
Crystal Irish is licensed to practice in Vermont (license number 151.0134105) 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 1972193266.
Healthcare Provider's Profile
| Full Name | Crystal Irish |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 7 Years |
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| Location | 39 Fogg Farm Rd, White River Jct, Vermont |
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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. |
Medical Education and Training:
- Crystal Irish graduated from medical school in 2019
NPI Data:
- NPI Number: 1972193266
- Provider Enumeration Date: 01/21/2021
- Last Update Date: 01/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 5799135331
- Enrollment ID: I20231222001877
Medical Identifiers
Medical identifiers for Crystal Irish such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972193266 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 151.0134105 (Vermont) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Clara Martin Center | 1951395367 | 15 |
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. Crystal Irish allows following entities to bill medicare on her behalf.
| Entity Name | Clara Martin Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386710861 PECOS PAC ID: 1951395367 Enrollment ID: O20060315000608 |
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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. Crystal Irish 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 |
Crystal Irish, LADAC Po Box G, Randolph, VT 05060-0167 Ph: (802) 728-4466 | Crystal Irish, LADAC 39 Fogg Farm Rd, White River Jct, VT 05088-0508 Ph: (802) 295-1311 |
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