Kristal A Reyes, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Ypsilanti, Michigan. Her current practice location is
124 Pearl St, Ypsilanti, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 796-0346.
Kristal A Reyes is licensed to practice in Michigan (license number 6801099441) 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 1417339201.
Healthcare Provider's Profile
| Full Name | Kristal A Reyes |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 124 Pearl St, Ypsilanti, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417339201
- Provider Enumeration Date: 06/29/2015
- Last Update Date: 02/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 6507289972
- Enrollment ID: I20200702001391
Medical Identifiers
Medical identifiers for Kristal A Reyes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417339201 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6801099441 (Michigan) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801099441 (Michigan) | 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. Kristal A Reyes allows following entities to bill medicare on her behalf.
| Entity Name | Neighborhood Service Organization |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891825808
PECOS PAC ID: 7113907387
Enrollment ID: O20040720001455 |
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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. Kristal A Reyes 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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Kristal A Reyes, LMSW
2002 Hogback Rd Ste 7,
Ann Arbor, MI 48105-9736
Ph: (734) 796-0346 | Kristal A Reyes, LMSW
124 Pearl St,
Ypsilanti, MI 48197-2663
Ph: (734) 796-0346 |
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