Crystal Lynn Favre, LPC007028, GEORGIA in Jasper, GA

Crystal Lynn Favre, LPC007028, GEORGIA is a medicare enrolled "Counselor" provider in Jasper, Georgia. Her current practice location is 2404 Refuge Rd, Jasper, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 692-7209.

Crystal Lynn Favre 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 1619202041.

Contact Information

	Crystal Lynn Favre, LPC007028, GEORGIA
	2404 Refuge Rd, Jasper, GA 30143-4946
	(706) 692-7209
	(706) 693-0144

Map and Direction

Healthcare Provider's Profile

Full Name	Crystal Lynn Favre
Gender	Female
Speciality	Counselor
Location	2404 Refuge Rd, Jasper, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619202041
Provider Enumeration Date: 10/02/2009
Last Update Date: 06/19/2013

Medicare PECOS Information:

PECOS PAC ID: 6608311659
Enrollment ID: I20240917001535

Medical Identifiers

Medical identifiers for Crystal Lynn Favre such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619202041	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (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. Crystal Lynn Favre allows following entities to bill medicare on her behalf.

Entity Name	Behavioral Kinetics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730936840 PECOS PAC ID: 3971048927 Enrollment ID: O20240715000239

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 Lynn Favre 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 Lynn Favre, LPC007028, GEORGIA 905 Rocky Ridge Pass, Canton, GA 30114-9751 Ph: (404) 786-2040	Crystal Lynn Favre, LPC007028, GEORGIA 2404 Refuge Rd, Jasper, GA 30143-4946 Ph: (706) 692-7209

Reviews and Comments

Counselor in Jasper, GA

Scarlet Graham, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Coachwhip Ct, Jasper, GA 30143 Phone: 503-946-9871 Fax: 888-710-4511
Dr. Boone Leonard Benton, PH.D., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 376 Tally Mountain Rd N, Jasper, GA 30143 Phone: 770-846-8161
Stacy Ann Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 630 E Church St, Jasper, GA 30143 Phone: 678-779-4223
Melanie Ann Dallas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Pine Crest Rd, Jasper, GA 30143 Phone: 404-808-7740 Fax: 706-692-2091
Ms. Jenny Mari Wood, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 163 Apple Ln, Jasper, GA 30143 Phone: 770-833-1055
Cam Dowling Parks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 Roland Rd, Jasper, GA 30143 Phone: 706-253-1169
Michelle Grunkemeyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2404 Refuge Rd, Jasper, GA 30143 Phone: 706-692-7209

Crystal Lynn Favre, LPC007028, GEORGIA - Medicare Counselor in Jasper, GA