Crystal Rose Wiss, in Lebanon, OR - Medicare Mental Health Counselor Provider

Crystal Rose Wiss, is a medicare enrolled "Counselor - Professional" provider in Lebanon, Oregon. She graduated from healthcare school in 2009 and has 17 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Conifer Wellness, Inc. and her current practice location is 1600 S Main St, Lebanon, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 451-5932.

Crystal Rose Wiss is licensed to practice in Oregon (license number C8013) 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 1265262612.

Contact Information

	Crystal Rose Wiss,
	1600 S Main St, Lebanon, OR 97355-3109
	(541) 451-5932
	(541) 812-8807

Map and Direction

Healthcare Provider's Profile

Full Name	Crystal Rose Wiss
Gender	Female
Speciality	Mental Health Counselor
Experience	17 Years
Location	1600 S Main St, Lebanon, Oregon
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 Rose Wiss graduated from medical school in 2009

NPI Data:

NPI Number: 1265262612
Provider Enumeration Date: 08/01/2024
Last Update Date: 08/01/2024

Medicare PECOS Information:

PECOS PAC ID: 7113468778
Enrollment ID: I20240923002494

Medical Identifiers

Medical identifiers for Crystal Rose Wiss such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265262612	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	C8013 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Conifer Wellness, Inc.	3971916537	3

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 Rose Wiss allows following entities to bill medicare on her behalf.

Entity Name	County Of Linn
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760575781 PECOS PAC ID: 7911984638 Enrollment ID: O20040701000264

Entity Name	Conifer Wellness, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912551771 PECOS PAC ID: 3971916537 Enrollment ID: O20201229001361

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 Rose Wiss 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 Rose Wiss, Po Box 100, Albany, OR 97321-0031 Ph: (541) 967-3866	Crystal Rose Wiss, 1600 S Main St, Lebanon, OR 97355-3109 Ph: (541) 451-5932

Reviews and Comments

Counselor in Lebanon, OR

Jessica Krieger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Mullins Dr Ste C2, Lebanon, OR 97355 Phone: 541-451-6388
Wendy Hull, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 S Main St, Lebanon, OR 97355 Phone: 541-451-5932
Mr. David R Bauer, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 S Main St, Lebanon, OR 97355 Phone: 541-451-5932 Fax: 541-258-5704
James Page, CADC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Mullins Dr Ste C2, Lebanon, OR 97355 Phone: 541-451-6388
Mrs. Abigail Susanne Demchak, Counselor Medicare: Medicare Enrolled Practice Location: 675 N 5th St Ste 200, Lebanon, OR 97355 Phone: 541-451-6282
James Burr Sherwood, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 N Main St Ste B, Lebanon, OR 97355 Phone: 541-405-9145
Jude Walsh, Counselor Medicare: Accepting Medicare Assignments Practice Location: 550 S Main St Ste 104, Lebanon, OR 97355 Phone: 541-722-5002

Crystal Rose Wiss, - Medicare Counselor in Lebanon, OR