Krystal Koru Lynn-tolson, LPC is a medicare enrolled "Counselor - Professional" provider in Gouldsboro, Pennsylvania. She went to Texas A & M University System, Hsc, College Of Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Counseling And Wellness Center Of Scranton Llc and her current practice location is
278 Packanack Drive, Gouldsboro, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 877-0820.
Krystal Koru Lynn-tolson is licensed to practice in * (Not Available) (license number ) 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 1336799550.
Healthcare Provider's Profile
| Full Name | Krystal Koru Lynn-tolson |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 6 Years |
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| Location | 278 Packanack Drive, Gouldsboro, Pennsylvania |
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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:
- Krystal Koru Lynn-tolson attended and graduated from Texas A & M University System, Hsc, College Of Medicine in 2019
NPI Data:
- NPI Number: 1336799550
- Provider Enumeration Date: 09/19/2019
- Last Update Date: 07/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628507589
- Enrollment ID: I20250123000025
Medical Identifiers
Medical identifiers for Krystal Koru Lynn-tolson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336799550 | NPI | - | NPPES |
| PC017222 | Other | PA | PENNSYLVANIA STATE BOARD OF PROFESSIONAL COUNSELORS |
| 82552 | Other | TX | TEXAS STATE BOARD OF PROFESSIONAL COUNSELORS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 82552 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | PC017222 (Pennsylvania) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Counseling And Wellness Center Of Scranton Llc | 3072900547 | 7 |
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. Krystal Koru Lynn-tolson allows following entities to bill medicare on her behalf.
| Entity Name | Counseling & Wellness Center Of Scranton Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992118111
PECOS PAC ID: 3072900547
Enrollment ID: O20220502001393 |
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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. Krystal Koru Lynn-tolson 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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Krystal Koru Lynn-tolson, LPC
Po Box 888,
Gouldsboro, PA 18424-0888
Ph: (570) 877-0820 | Krystal Koru Lynn-tolson, LPC
278 Packanack Drive,
Gouldsboro, PA 18424
Ph: (570) 877-0820 |
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